Provider Demographics
| NPI: | 1669500930 |
|---|---|
| Name: | COMPREHENSIVE HEALTH SERVICES, LLC |
| Entity Type: | Organization |
| Organization Name: | COMPREHENSIVE HEALTH SERVICES, LLC |
| Other - Org Name: | CHARLES RIVER COUNSELING CENTER |
| Other - Org Type: | Doing Business As |
| Authorized Official - Title/Position: | MANAGING MEMBER COMPREHENSIVE |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | ASHOK |
| Authorized Official - Middle Name: | J |
| Authorized Official - Last Name: | JOSHI |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 617-527-4610 |
| Mailing Address - Street 1: | 188 NEEDHAM ST |
| Mailing Address - Street 2: | SUITE 220 |
| Mailing Address - City: | NEWTON |
| Mailing Address - State: | MA |
| Mailing Address - Zip Code: | 02464-1596 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 617-527-4610 |
| Mailing Address - Fax: | 617-527-6829 |
| Practice Address - Street 1: | 188 NEEDHAM ST |
| Practice Address - Street 2: | SUITE 220 |
| Practice Address - City: | NEWTON |
| Practice Address - State: | MA |
| Practice Address - Zip Code: | 02464-1596 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 617-527-4610 |
| Practice Address - Fax: | 617-527-6829 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | Yes |
| Parent Organization LBN: | COMPREHENSIVE HEALTH SERVICES LLC |
| Parent Organization TIN: | <UNAVAIL> |
| Enumeration Date: | 2007-03-01 |
| Last Update Date: | 2016-01-14 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| MA | 4196 | 101YA0400X, 101YM0800X, 101YP2500X, 101YS0200X, 103T00000X, 103TC0700X, 103TC1900X, 103TF0000X, 1041C0700X, 106H00000X, 2084P0800X, 2084P0804X, 251S00000X, 261QM1300X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 251S00000X | Agencies | Community/Behavioral Health | ||
| No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
| 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 | 101YS0200X | Behavioral Health & Social Service Providers | Counselor | School | 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 | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling | Group - Multi-Specialty |
| No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family | 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 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
| No | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry | Group - Multi-Specialty |
| No | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| MA | Y10322 | Other | GROUP P -TAN |
| MA | 1000930 | Other | FALLON |
| MA | 5025064 | Other | AETNA |
| MA | ========= | Other | TEAMSTERS |
| MA | 1000930 | Other | BEACON |
| MA | M18561 | Other | BCBS |
| MA | 34702 | Other | BOSTON MEDICAL |
| MA | M18560 | Other | BCBS |
| MA | 0000 | Other | VALUE OPTIONS |
| MA | 215479000 | Other | MAGELLAN |
| MA | 701784 | Other | TUFTS |
| MA | 9817901 | Other | NETWORK |
| MA | ========= | Other | PHCS |
| MA | M18559 | Other | BCBS |
| MA | 1307592 | Medicaid | |
| MA | ========= | Other | UBH |
