NPIMap

Organization Active NPI

Behavioral Mental Health Services, PC

Doing business as Comprehensive Treatment Clinic

  • Community/Behavioral Health Agency
  • Logan, UT
National Provider Identifier
1558676239
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
15984 Issued in UT
Legal business name
BEHAVIORAL MENTAL HEALTH SERVICES, PC
Doing business as
Comprehensive Treatment Clinic
Practice address
40 W Cache Valley Blvd Ste 10a
Logan, UT 84341-8450
Phone
(435) 787-2272
Fax
(435) 713-4001
NPI assigned
Aug 18, 2010
Last updated
Aug 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
A Todd Freestone, PSY, D. LCSW
Title
Clinical Director
Phone
(435) 787-2272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 15984 UT Primary

Addresses

Primary practice location

40 W Cache Valley Blvd Ste 10a
Logan, UT 84341-8450

Mailing address

40 W Cache Valley Blvd Ste 10a
Logan, UT 84341-8450
Phone (435) 787-2272

Other names 1

  • Comprehensive Treatment Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1558676239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W CACHE VALLEY BLVD STE 10A",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843418450",
            "telephone_number": "435-787-2272",
            "fax_number": "435-713-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W CACHE VALLEY BLVD STE 10A",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843418450",
            "telephone_number": "435-787-2272",
            "fax_number": "435-713-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL MENTAL HEALTH SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "FREESTONE",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "435-787-2272",
        "authorized_official_credential": "PSY, D. LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "15984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Treatment Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.