Comprehensive Geriatric Services Inc PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COMPREHENSIVE GERIATRIC SERVICES INC PC

Practice address

26811 Ryan Rd
Warren, MI 48091-4075

Phone

(586) 755-4433

Fax

(586) 755-6655

NPI assigned

Jun 5, 2006

Organization subpart

No

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

Authorized official

Name

Roman J Kolodchin, PHDNPI 1679900047

Title

Owner

Phone

(586) 755-4433

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Roman John Kolodchin, PHD

  • Clinical Child & Adolescent Psychologist
  • Warren, MI
  • NPI 1679900047
  NPD (past) Authorized official
• Gary Alan Wautier, PHD

  • Clinical Psychologist
  • Marquette, MI
  • NPI 1801870092
  NPD (past)
• Morris Edward Gales III, MD, CWS, FCCWS

  • Surgery Physician
  • Miramar, FL
  • NPI 1538160908
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730128802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26811 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480914075",
            "telephone_number": "586-524-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26811 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480914075",
            "telephone_number": "586-755-4433",
            "fax_number": "586-755-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE GERIATRIC SERVICES INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOLODCHIN",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-755-4433",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Warren, MI
• Providers in Warren, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.