Comprehensive Psychiatric Care LLC

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

Legal business name

COMPREHENSIVE PSYCHIATRIC CARE LLC

Practice address

21 Longmeadow Rd
Westborough, MA 01581-2419

Phone

(508) 898-8650

Fax

(508) 870-9793

NPI assigned

Aug 25, 2011

Last updated

Aug 25, 2011By 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

Ms. Cheryl Moak

Title

Office Manager

Phone

(508) 898-8650

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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.

• Olga Gaftanyuk, MD

  • Geriatric Psychiatry Physician
  • West Springfield, MA
  • NPI 1639108756
  Medicare reassignment NPD

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1295015048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LONGMEADOW RD",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812419",
            "telephone_number": "508-898-8650",
            "fax_number": "508-870-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LONGMEADOW RD",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812419",
            "telephone_number": "508-898-8650",
            "fax_number": "508-870-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PSYCHIATRIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "MOAK",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-898-8650",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Collins, CGC
• Wanda Marie Colon-Cartagena, M.D.
• Commonwealth of Massachusetts-DMH (West Suburban Site)
• Commonwealth of Massachusetts-DMH (Metro Suburban Area Office)
• Community Neuroscience Services, LLC
• Concho Valley Lithotripsy, LP
• Continental Connecticut Lithotripsy, LLC
• Convenientmd - FFS UC LLC
• Convenientmd LLC
• Margaret Plummer Cook, PSY.D.

• Geriatric Psychiatry Physician in Westborough, MA
• Providers in Westborough, MA by specialty
• Geriatric Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.