Provider Demographics
NPI:1831388701
Name:COMPREHENSIVE PSYCHOLOGICAL SERVICES, LTD.
Entity type:Organization
Organization Name:COMPREHENSIVE PSYCHOLOGICAL SERVICES, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHMUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:803-724-7924
Mailing Address - Street 1:93 JACOBS CEMETERY RD
Mailing Address - Street 2:
Mailing Address - City:LUCASVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45648-8716
Mailing Address - Country:US
Mailing Address - Phone:803-724-7924
Mailing Address - Fax:740-820-6924
Practice Address - Street 1:845 COUNTY HOUSE LN
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-8015
Practice Address - Country:US
Practice Address - Phone:803-724-7924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2836622Medicaid
DG3794OtherRRMCR
DG3794OtherRRMCR