NPIMap

Organization Active NPI

Comprehensive Behavioral Health Associates

  • Community/Behavioral Health Agency
  • Austintown, OH
National Provider Identifier
1639468127
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
35042814 Issued in OH
Legal business name
COMPREHENSIVE BEHAVIORAL HEALTH ASSOCIATES
Practice address
104 Javit CT
Austintown, OH 44515-2439
Phone
(330) 797-4050
Fax
(330) 797-4090
NPI assigned
Apr 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Sasi Kaza
Title
Administrator
Phone
(330) 797-4050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 35042814 OH Primary

Addresses

Primary practice location

104 Javit CT
Austintown, OH 44515-2439

Mailing address

104 Javit CT
Austintown, OH 44515-2439
Phone (330) 797-4050

Other identifiers 1

IdentifierTypeStateIssuer
2047396MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Behavioral Health Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1639468127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 JAVIT CT",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152439",
            "telephone_number": "330-797-4050",
            "fax_number": "330-797-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 JAVIT CT",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152439",
            "telephone_number": "330-797-4050",
            "fax_number": "330-797-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE BEHAVIORAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "KAZA",
        "authorized_official_first_name": "SASI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-797-4050"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "35042814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2047396",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.