Provider Demographics
NPI:1659764249
Name:COMPREHENSIVE MINDS LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE MINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:PRAFUL
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-554-0035
Mailing Address - Street 1:7500 TOWN CENTRE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:BROADVIEW HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44147-4048
Mailing Address - Country:US
Mailing Address - Phone:440-554-0035
Mailing Address - Fax:440-596-1178
Practice Address - Street 1:7500 TOWN CENTRE DR STE 300
Practice Address - Street 2:
Practice Address - City:BROADVIEW HTS
Practice Address - State:OH
Practice Address - Zip Code:44147-4048
Practice Address - Country:US
Practice Address - Phone:440-554-0035
Practice Address - Fax:440-596-1178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-06
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-1256592084P0800X
261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Single Specialty