Organization Active NPI

Comprehensive Psychiatric Services, P.C.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1144383258
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
201591 Issued in NY
Legal business name
COMPREHENSIVE PSYCHIATRIC SERVICES, P.C.
Practice address
2269 Ocean Ave
Brooklyn, NY 11229-3103
Phone
(718) 339-8200
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Authorized official

Name
Dr. Mark Shif, M.D.NPI 1770680464
Title
Owner
Phone
(718) 743-0771

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 201591 NY Primary

Addresses

Primary practice location

2269 Ocean Ave
Brooklyn, NY 11229-3103

Mailing address

135 Oceana Dr E Apt PH2B
Brooklyn, NY 11235-6698
Phone (718) 743-0771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040320000418 NY Part B Supplier - Clinic/Group Practice 9739070897 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Rockville Centre, NY

National Provider Directory

National Provider Directory

Locations

2634 Ocean Ave
Ste 4
Brooklyn, NY 11229
Phone (718) 769-3667

2520 Ocean Ave
#1
Brooklyn, NY 11229
Phone (718) 769-7834

3035 W 24th St
Brooklyn, NY 11224
Phone (347) 348-1518

Practitioners & affiliated clinicians

Practitioners 5

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1144383258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 OCEANA DR E APT PH2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356698",
            "telephone_number": "718-743-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2269 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293103",
            "telephone_number": "718-339-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PSYCHIATRIC SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "SHIF",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-743-0771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "201591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.