Provider Demographics
NPI:1265528483
Name:COMPREHENSIVE PSYCHIATRIC SERVICES, P.C.
Entity type:Organization
Organization Name:COMPREHENSIVE PSYCHIATRIC SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TOBY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAZAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-932-2500
Mailing Address - Street 1:1703 BELLWOOD CT
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-2601
Mailing Address - Country:US
Mailing Address - Phone:248-932-2500
Mailing Address - Fax:248-932-2506
Practice Address - Street 1:1703 BELLWOOD CT
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-2601
Practice Address - Country:US
Practice Address - Phone:248-932-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIW62072Medicare UPIN
MI0F34953Medicare ID - Type Unspecified