NPIMap

Organization Active NPI

Comprehensive Behavioral Specialists LLC

  • Professional Counselor
  • Westlake, OH
National Provider Identifier
1669624581
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0002797 SUPV Issued in OH
Legal business name
COMPREHENSIVE BEHAVIORAL SPECIALISTS LLC
Practice address
30400 Detroit Rd
Ste 301
Westlake, OH 44145-1872
Phone
(440) 250-8868
Fax
(440) 250-8868
NPI assigned
Oct 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Ms. Christy L Sugarman, PCC, LICDCNPI 1841239027
Title
Secretary/Treasurer
Phone
(440) 250-8868

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X E0002797 SUPV OH Primary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X E0002465 SUPV OH
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X I0007611 S OH

Addresses

Primary practice location

30400 Detroit Rd
Ste 301
Westlake, OH 44145-1872

Mailing address

30400 Detroit Rd
Ste 301
Westlake, OH 44145-1872
Phone (440) 250-8868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240508002435 OH Part B Supplier - Clinic/Group Practice 3678914694 Receives reassigned benefits from 3 practitioners
Practice locations: Westlake, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1669624581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30400 DETROIT RD",
            "address_2": "STE 301",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451872",
            "telephone_number": "440-250-8868",
            "fax_number": "440-250-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30400 DETROIT RD",
            "address_2": "STE 301",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451872",
            "telephone_number": "440-250-8868",
            "fax_number": "440-250-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE BEHAVIORAL SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "SUGARMAN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "440-250-8868",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PCC, LICDC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0002797 SUPV",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0002465 SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0007611 S",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.