Comprehensive Psychiatric Solutions LLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

048197 Issued in CT

Legal business name

COMPREHENSIVE PSYCHIATRIC SOLUTIONS LLC

Practice address

666 Glenbrook Rd Ste 1
Stamford, CT 06906-1439

Phone

(203) 770-3018

Fax

(203) 569-3149

NPI assigned

Apr 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Howard Kenneth Weiner, M.D.

Title

President

Phone

(203) 770-3018

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1659614279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 GLENBROOK RD STE 1",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069061439",
            "telephone_number": "203-770-3018",
            "fax_number": "203-569-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 GLENBROOK RD STE 1",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069061439",
            "telephone_number": "203-770-3018",
            "fax_number": "203-569-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PSYCHIATRIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-02",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-770-3018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CT",
            "license": "048197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1891787859",
            "identifier": "NPPES",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11291775",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE STATE OF CT",
            "identifier": "048197",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.