Provider Demographics
NPI:1316590474
Name:COMPREHENSIVE & PSYCH ASSOCIATES, LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE & PSYCH ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MODUPE
Authorized Official - Middle Name:
Authorized Official - Last Name:APASSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-929-4521
Mailing Address - Street 1:3656 SWEETBUSH TRL
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-2492
Mailing Address - Country:US
Mailing Address - Phone:301-537-5134
Mailing Address - Fax:
Practice Address - Street 1:13932 BALTIMORE AVE
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5000
Practice Address - Country:US
Practice Address - Phone:240-929-4521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-18
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty