NPIMap

Organization Active NPI

Comprehensive Psychological and Assessment Services LLC

  • Community/Behavioral Health Agency
  • Otsego, MI
National Provider Identifier
1265759633
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6301014241 Issued in MI
Legal business name
COMPREHENSIVE PSYCHOLOGICAL AND ASSESSMENT SERVICES LLC
Practice address
1387 E M 89
Otsego, MI 49078-9301
Phone
(269) 692-2100
Fax
(269) 692-2101
NPI assigned
Apr 26, 2010
Last updated
Apr 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Authorized official

Name
Dr. Amber M Burnett, PSYDNPI 1790820074
Title
Owner
Phone
(269) 998-2728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6401009350 MI
Community/Behavioral Health Agency 251S00000X 6301014241 MI Primary

Addresses

Primary practice location

1387 E M 89
Otsego, MI 49078-9301

Mailing address

1387 E M 89
Otsego, MI 49078-9301
Phone (269) 998-2728

National Provider Directory

National Provider Directory

Locations

1387 E M 89
Otsego, MI 49078
Phone (269) 692-2100

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1265759633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1387 E M 89",
            "city": "OTSEGO",
            "state": "MI",
            "postal_code": "490789301",
            "telephone_number": "269-998-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 E M 89",
            "city": "OTSEGO",
            "state": "MI",
            "postal_code": "490789301",
            "telephone_number": "269-692-2100",
            "fax_number": "269-692-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PSYCHOLOGICAL AND ASSESSMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-998-2728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401009350",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6301014241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Otsego, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.