Organization Active NPI

Comprehensive Minds LLC

  • Psychiatry Physician
  • Broadview HTS, OH
National Provider Identifier
1659764249
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35-125659 Issued in OH
Legal business name
COMPREHENSIVE MINDS LLC
Practice address
7500 Town Centre Dr Ste 300
Broadview HTS, OH 44147-4048
Phone
(440) 554-0035
Fax
(440) 596-1178
NPI assigned
Mar 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Sonia Praful Desai, MDNPI 1376702506
Title
Physician
Phone
(440) 554-0035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 35-125659 OH Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

7500 Town Centre Dr Ste 300
Broadview HTS, OH 44147-4048

Mailing address

7500 Town Centre Dr Ste 300
Broadview HTS, OH 44147-4048
Phone (440) 554-0035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220504001842 OH Part B Supplier - Clinic/Group Practice 1456679752 Receives reassigned benefits from 7 practitioners
Practice locations: Broadview HTS, OH

National Provider Directory

National Provider Directory

Locations

7750 Town Centre Dr
Ste 600
Broadview Heights, OH 44147
Phone (440) 547-8200

5831 Ridge Rd
Parma, OH 44129
Phone (440) 884-7575

Practitioners & affiliated clinicians

Practitioners 9

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": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1659764249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 TOWN CENTRE DR STE 300",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441474048",
            "telephone_number": "440-554-0035",
            "fax_number": "440-596-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 TOWN CENTRE DR STE 300",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441474048",
            "telephone_number": "440-554-0035",
            "fax_number": "440-596-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "PRAFUL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "440-554-0035",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-125659",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.