Comprehensive Treatment Center P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4301043330 Issued in MI

Legal business name

COMPREHENSIVE TREATMENT CENTER P.C.

Practice address

35 S Johnson St
Ste 2 H
Pontiac, MI 48341-1658

Phone

(248) 333-9556

Fax

(248) 333-9556

NPI assigned

Jun 3, 2008

Organization subpart

Yes

Parent organization

COMPREHENSIVE TREATMENT CENTERAs reported in NPPES

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

Authorized official

Name

Dr. Kothegala Puttanniah Jagadish, M.D.

Title

President

Phone

(248) 333-9556

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Comprehensive Treatment Center PC

Locations

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1407015795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S JOHNSON ST",
            "address_2": "STE 2 H",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411658",
            "telephone_number": "248-333-9556",
            "fax_number": "248-333-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S JOHNSON ST",
            "address_2": "STE 2 H",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411658",
            "telephone_number": "248-333-9556",
            "fax_number": "248-333-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE TREATMENT CENTER P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE TREATMENT CENTER",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "JAGADISH",
        "authorized_official_first_name": "KOTHEGALA",
        "authorized_official_middle_name": "PUTTANNIAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-333-9556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301043330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0P61080",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Communitynetworkservices
• Compassionate Home Health Services Inc
• Compassionate Home Health Services Inc (Compassionate HHS)
• Completion House Inc. (Turning Point Recovery Centers)
• Completion House, Inc. Dba Turning Point Recovery Centers
• Zoe Maura Compton, LLMSW
• Concentra Health Services, Inc.
• Rosemary Hope Conklin, LLMSW
• Raval Conn
• Continuous Independence Program

• Primary Care Clinic/Center in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.