Organization Active NPI

Comprehensive Neurology Services, P.a.

  • Psychiatry Physician
  • Frederick, MD
National Provider Identifier
1124711213
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
COMPREHENSIVE NEUROLOGY SERVICES, P.A.
Practice address
196 Thomas Johnson Dr Ste 120
Frederick, MD 21702-4521
Phone
(240) 566-3130
Fax
(240) 566-3131
NPI assigned
Jun 2, 2023
Organization subpart
Yes
Parent organization
COMPREHENSIVE NEUROLOGY SERVICES, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Shahid Rafiq, MDNPI 1447214549
Title
Managing Director
Phone
(240) 566-3130

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
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

196 Thomas Johnson Dr Ste 120
Frederick, MD 21702-4521

Mailing address

196 Thomas Johnson Dr Ste 120
Frederick, MD 21702-4521
Phone (240) 566-3130

Other practice location 1

196 Thomas Johnson Dr Ste 230
Frederick, MD 21702-4524
Phone (240) 439-4110

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Neurology Services PA4 organizations share this tax ID, including this one
Part of
Comprehensive Neurology Services PA

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1124711213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 THOMAS JOHNSON DR STE 120",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024521",
            "telephone_number": "240-566-3130",
            "fax_number": "240-566-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 THOMAS JOHNSON DR STE 120",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024521",
            "telephone_number": "240-566-3130",
            "fax_number": "240-566-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "196 Thomas Johnson Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024524",
            "country_code": "US",
            "telephone_number": "240-439-4110",
            "fax_number": "240-566-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE NEUROLOGY SERVICES, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE NEUROLOGY SERVICES, P.A.",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "RAFIQ",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "240-566-3130",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.