Comprehensive Counseling Center PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

0000000000 Issued in MI

Legal business name

COMPREHENSIVE COUNSELING CENTER PC

Practice address

11885 E 12 Mile Rd
Ste. 201a
Warren, MI 48093-3474

Phone

(586) 558-6000

Fax

(586) 558-6679

NPI assigned

Jun 21, 2005

Last updated

Jan 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sudhir V Lingnurkar MD, MD

Title

President/Owner

Phone

(586) 558-6000

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/8e77b480-944d-4d4a-a93e-e5a9fd83d5c6/

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sudhir V Lingnurkar, MD

  • Psychiatry Physician
  • Warren, MI
  • NPI 1316905102
  Medicare reassignment Care Compare group NPD
• Chalakudy V Ramakrishna, MD PC

  • Psychiatry Physician
  • Livonia, MI
  • NPI 1295790442
  Medicare reassignment Care Compare group NPD
• Santosh K Rastogi, MD

  • Psychiatry Physician
  • Madison Heights, MI
  • NPI 1043327117
  Medicare reassignment Care Compare group NPD
• Cindi Rosner Kelly, LMSW

  • Clinical Social Worker
  • Northville, MI
  • NPI 1932110756
  NPD (past)
• Antonio H Nucum Jr., D.O.

  • Psychiatry Physician
  • Sterling Heights, MI
  • NPI 1164431540
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1093711459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11885 E 12 MILE RD",
            "address_2": "STE. 201A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933474",
            "telephone_number": "586-558-6000",
            "fax_number": "586-558-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11885 E 12 MILE RD",
            "address_2": "STE. 201A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933474",
            "telephone_number": "586-558-6000",
            "fax_number": "586-558-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE COUNSELING CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "LINGNURKAR MD",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "586-558-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "0000000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD ID",
            "identifier": "750910346",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK ID",
            "identifier": "338940",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Warren, MI
• Providers in Warren, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.