Comprehensive Clinical & Professional Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMPREHENSIVE CLINICAL & PROFESSIONAL SERVICES, LLC

Practice address

213 Wedgewood Dr
Newport News, VA 23601-1133

Phone

(757) 788-1450

Fax

(757) 210-6571

NPI assigned

Mar 6, 2020

Last updated

May 18, 2022By 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. Shawndra Umbarger, MA NCC CCMHC

Title

Owner/Ceo

Phone

(757) 788-1450

Specialties & licenses 1

Addresses

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: queenceo4u@compcos.org

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1417582800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 WEDGEWOOD DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011133",
            "telephone_number": "757-788-1450",
            "fax_number": "757-257-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 WEDGEWOOD DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011133",
            "telephone_number": "757-788-1450",
            "fax_number": "757-210-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CLINICAL & PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "UMBARGER",
        "authorized_official_first_name": "SHAWNDRA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "757-788-1450",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA NCC CCMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "QueenCEO4U@compcos.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "213 Wedgewood Dr",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236011133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.