Provider Demographics
NPI:1740393545
Name:COMPREHENSIVE PSYCHIATRIC SERVICES, INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE PSYCHIATRIC SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRIEDELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-831-6550
Mailing Address - Street 1:24400 HIGHPOINT RD
Mailing Address - Street 2:STE # 6 COMPREHENSIVE PSYCHIATRIC SERVICES INC
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122
Mailing Address - Country:US
Mailing Address - Phone:216-831-6550
Mailing Address - Fax:216-831-6133
Practice Address - Street 1:24400 HIGHPOINT RD
Practice Address - Street 2:STE # 6 COMPREHENSIVE PSYCHIATRIC SERVICES INC
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-6054
Practice Address - Country:US
Practice Address - Phone:216-831-6550
Practice Address - Fax:216-831-6133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH343179OtherVALUE OPTIONS
OH173750OtherCOMP PSYCH
OH343179OtherVALUE OPTIONS