Provider Demographics
NPI:1588858104
Name:COMPREHENSIVE ASSESSMENTS, INC
Entity Type:Organization
Organization Name:COMPREHENSIVE ASSESSMENTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:STAATS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:318-861-0194
Mailing Address - Street 1:4300 YOUREE DR
Mailing Address - Street 2:SUITE 200 BUILDING 2
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-3329
Mailing Address - Country:US
Mailing Address - Phone:318-861-0194
Mailing Address - Fax:318-861-0284
Practice Address - Street 1:4300 YOUREE DR
Practice Address - Street 2:SUITE 200 BUILDING 2
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-3329
Practice Address - Country:US
Practice Address - Phone:318-861-0194
Practice Address - Fax:318-861-0284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA254103G00000X, 103TC0700X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA57979Medicare PIN