Organization Active NPI

Comprehensive Primary Care and Behavioral Health LLC

  • General Practice Physician
  • Chagrin Falls, OH
National Provider Identifier
1730634411
Registry record updated Sep 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
COMPREHENSIVE PRIMARY CARE AND BEHAVIORAL HEALTH LLC
Practice address
45001 Mather LN
Chagrin Falls, OH 44022-6658
Phone
(216) 870-6255
NPI assigned
Aug 23, 2016
Last updated
Sep 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2017

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

Authorized official

Name
Natalie Ferris Barbastefano, ACNPNPI 1265741987
Title
Owner
Phone
(216) 870-6255

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

45001 Mather LN
Chagrin Falls, OH 44022-6658

Mailing address

45001 Mather LN
Chagrin Falls, OH 44022-6658

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161028001447 OH Part B Supplier - Clinic/Group Practice 2668750423 Receives reassigned benefits from 3 practitioners
Practice locations: Chagrin Falls, 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, 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": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505433600000",
    "number": "1730634411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45001 MATHER LN",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440226658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45001 MATHER LN",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440226658",
            "telephone_number": "216-870-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PRIMARY CARE AND BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2017-09-15",
        "status": "A",
        "authorized_official_last_name": "FERRIS BARBASTEFANO",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-870-6255",
        "authorized_official_credential": "ACNP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; 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.