NPIMap

Organization Active NPI

Comprehensive Psychiatry Group Inc

  • Social Worker
  • Boardman, OH
National Provider Identifier
1023293198
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S-0017843 Issued in OH
Legal business name
COMPREHENSIVE PSYCHIATRY GROUP INC
Practice address
955 Windham CT
Suite 2
Boardman, OH 44512-5035
Phone
(330) 726-9570
Fax
(330) 726-9031
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Scott Alan Marlin, MA, LSWNPI 1598727182
Title
Administrator
Phone
(330) 726-2888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X S-0017843 OH Primary

Addresses

Primary practice location

955 Windham CT
Suite 2
Boardman, OH 44512-5035

Mailing address

955 Windham CT
Suite 2
Boardman, OH 44512-5035
Phone (330) 726-9957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080321000020 OH Part B Supplier - Clinic/Group Practice 6406932144 Receives reassigned benefits from 14 practitioners
Practice locations: Boardman, OH

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Psychiatry Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

955 Windham Ct
Ste 2
Youngstown, OH 44512
Phone (330) 726-9570

Networks

  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037Plans: DEVOTED C-SNP PLUS 022 PA (HMO C-SNP) (H6852-022-000, H6852); DEVOTED C-SNP PREMIUM 017 PA (HMO C-SNP) (H6852-017-000, H6852); DEVOTED C-SNP PREMIUM 019 PA (HMO C-SNP) (H6852-019-000, H6852); DEVOTED C-SNP PLUS 021 PA (HMO C-SNP) (H6852-021-000, H6852); DEVOTED C-SNP PREMIUM 020 PA (HMO C-SNP) (H6852-020-000, H6852); DEVOTED C-SNP PREMIUM 018 PA (HMO C-SNP) (H6852-018-000, H6852); DEVOTED C-SNP PREMIUM 016 PA (HMO C-SNP) (H6852-016-000, H6852)

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1023293198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 WINDHAM CT",
            "address_2": "SUITE 2",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125035",
            "telephone_number": "330-726-9957",
            "fax_number": "330-726-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 WINDHAM CT",
            "address_2": "SUITE 2",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125035",
            "telephone_number": "330-726-9570",
            "fax_number": "330-726-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PSYCHIATRY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "MARLIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-726-2888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S-0017843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.