NPIMap

Organization Active NPI

Comprehensive Geriatric Services Inc PC

  • Psychiatry Physician
  • Warren, MI
National Provider Identifier
1528007697
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
COMPREHENSIVE GERIATRIC SERVICES INC PC
Practice address
26811 Ryan Rd
Warren, MI 48091-4075
Phone
(586) 755-4433
Fax
(586) 755-6655
NPI assigned
Jun 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Roman J Kolodchin, PHD
Title
Owner
Phone
(586) 755-4433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

26811 Ryan Rd
Warren, MI 48091-4075

Mailing address

4437 McKinley Ave
Warren, MI 48091-1160
Phone (586) 524-0672

National Provider Directory

National Provider Directory

Locations

26811 Ryan Rd
Warren, MI 48091
Phone (586) 755-4433

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1528007697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4437 MCKINLEY AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480911160",
            "telephone_number": "586-524-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26811 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480914075",
            "telephone_number": "586-755-4433",
            "fax_number": "586-755-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE GERIATRIC SERVICES INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "KOLODCHIN",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-755-4433",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.