COMPREHENSIVE HEALTH SERVICES, LLC

Provider Demographics

• NPI: 1174650907
• Name: COMPREHENSIVE HEALTH SERVICES, LLC
• Entity Type: Organization
• Organization Name: COMPREHENSIVE HEALTH SERVICES, LLC
• Other - Org Name: CENTER FOR FAMILY DEVELOPMENT
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: MANAGING MEMBER COMPREHENSIVE HEALT
• Authorized Official - Prefix: DR
• Authorized Official - First Name: ASHOK
• Authorized Official - Middle Name: J
• Authorized Official - Last Name: JOSHI
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 978-459-2306
• Mailing Address - Street 1: 81 BRIDGE ST
• Mailing Address - Street 2: SUITE 215
• Mailing Address - City: LOWELL
• Mailing Address - State: MA
• Mailing Address - Zip Code: 01852-1270
• Mailing Address - Country: US
• Mailing Address - Phone: 978-459-2306
• Mailing Address - Fax: 978-453-9394
• Practice Address - Street 1: 81 BRIDGE ST
• Practice Address - Street 2: SUITE 215
• Practice Address - City: LOWELL
• Practice Address - State: MA
• Practice Address - Zip Code: 01852-1270
• Practice Address - Country: US
• Practice Address - Phone: 978-459-2306
• Practice Address - Fax: 978-453-9394
• EIN: <UNAVAIL>
• Is Organization Subpart?: Yes
• Parent Organization LBN: COMPREHENSIVE HEALTH SERVICES, LLC
• Parent Organization TIN: <UNAVAIL>
• Enumeration Date: 2007-02-28
• Last Update Date: 2016-01-14

Provider Licenses

State	License ID	Taxonomies
MA	4196	101YM0800X, 103T00000X, 103TC0700X, 103TF0000X, 103TS0200X, 163WP0809X, 2084P0800X, 2084P0804X, 251S00000X, 261QM0850X, 261QM1300X, 261QM2500X
MA	416	101YP2500X, 106H00000X
MA	196	1041C0700X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	251S00000X	Agencies	Community/Behavioral Health
No	101YM0800X	Behavioral Health & Social Service Providers	Counselor	Mental Health	Group - Multi-Specialty
No	101YP2500X	Behavioral Health & Social Service Providers	Counselor	Professional	Group - Multi-Specialty
No	103T00000X	Behavioral Health & Social Service Providers	Psychologist		Group - Multi-Specialty
No	103TC0700X	Behavioral Health & Social Service Providers	Psychologist	Clinical	Group - Multi-Specialty
No	103TF0000X	Behavioral Health & Social Service Providers	Psychologist	Family	Group - Multi-Specialty
No	103TS0200X	Behavioral Health & Social Service Providers	Psychologist	School	Group - Multi-Specialty
No	1041C0700X	Behavioral Health & Social Service Providers	Social Worker	Clinical	Group - Multi-Specialty
No	106H00000X	Behavioral Health & Social Service Providers	Marriage & Family Therapist		Group - Multi-Specialty
No	163WP0809X	Nursing Service Providers	Registered Nurse	Psychiatric/Mental Health, Adult	Group - Multi-Specialty
No	2084P0800X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Psychiatry	Group - Multi-Specialty
No	2084P0804X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Child & Adolescent Psychiatry	Group - Multi-Specialty
No	261QM0850X	Ambulatory Health Care Facilities	Clinic/Center	Adult Mental Health
No	261QM1300X	Ambulatory Health Care Facilities	Clinic/Center	Multi-Specialty
No	261QM2500X	Ambulatory Health Care Facilities	Clinic/Center	Medical Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
MA	0000	Other	VALUE OPTIONS
MA	34702	Other	BOSTON MEDICAL
MA	1307606	Medicaid
MA	=========	Other	UBH
MA	=========	Other	TRICARE
MA	7672103	Other	AETNA
MA	M18559	Other	BCBS
MA	215480000	Other	MAGELLAN
MA	=========	Other	PHCS
MA	=========	Other	TEAMSTERS
MA	M18560	Other	BCBS
MA	701784	Other	TUFTS
MA	980524	Other	NETWORK HEALTH
MA	1000930	Other	BEACON HEALTH
MA	M18561	Other	BCBS