Provider Demographics
NPI:1376692665
Name:COMPREHENSIVE PSYCHIATRIC & MEDICAL SERVICES
Entity Type:Organization
Organization Name:COMPREHENSIVE PSYCHIATRIC & MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAVAID
Authorized Official - Middle Name:
Authorized Official - Last Name:ARRINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-966-3753
Mailing Address - Street 1:43311 JOY RD
Mailing Address - Street 2:#177
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-2075
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:43311 JOY RD
Practice Address - Street 2:#177
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2075
Practice Address - Country:US
Practice Address - Phone:313-966-3753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherTAX IDENTIFICATION
MI0N57240Medicare PIN