NPIMap

Organization Active NPI

Comprehensive Healthcare & Wellness Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Upper Marlboro, MD
National Provider Identifier
1730824756
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COMPREHENSIVE HEALTHCARE & WELLNESS SERVICES LLC
Practice address
1014 Andean Goose Way
Upper Marlboro, MD 20774-7128
Phone
(240) 508-3363
Fax
(240) 266-8518
NPI assigned
May 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Johanese SandyNPI 1154819977
Title
Provider
Phone
(240) 508-3363

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1014 Andean Goose Way
Upper Marlboro, MD 20774-7128

Mailing address

1014 Andean Goose Way
Upper Marlboro, MD 20774-7128
Phone (240) 508-3363

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Healthcare Wellness Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1730824756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 ANDEAN GOOSE WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207747128",
            "telephone_number": "240-508-3363",
            "fax_number": "240-266-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 ANDEAN GOOSE WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207747128",
            "telephone_number": "240-508-3363",
            "fax_number": "240-266-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE HEALTHCARE & WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "SANDY",
        "authorized_official_first_name": "JOHANESE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "240-508-3363"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.