Organization Active NPI

Comprehensive Psychiatric Services, Inc.

  • Psychiatry Physician
  • Beachwood, OH
National Provider Identifier
1740393545
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
COMPREHENSIVE PSYCHIATRIC SERVICES, INC.
Practice address
24400 Highpoint Rd
Ste # 6 Comprehensive Psychiatric Services Inc
Beachwood, OH 44122-6054
Phone
(216) 831-6550
Fax
(216) 831-6133
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Dr. Richard A Friedell, MD
Title
Director
Phone
(216) 831-6550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

24400 Highpoint Rd
Ste # 6 Comprehensive Psychiatric Services Inc
Beachwood, OH 44122-6054

Mailing address

24400 Highpoint Rd
Ste # 6 Comprehensive Psychiatric Services Inc
Beachwood, OH 44122
Phone (216) 831-6550

Other identifiers 2

IdentifierTypeStateIssuer
343179OtherOHVALUE OPTIONS
173750OtherOHCOMP PSYCH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040901001410 OH Part B Supplier - Clinic/Group Practice 5395710230 Receives reassigned benefits from 6 practitioners
Practice locations: Rocky River, OH

National Provider Directory

National Provider Directory

Locations

24400 Highpoint Rd
Ste 6
Beachwood, OH 44122
Phone (216) 831-6550

19035 Old Detroit Rd
Ste 209
Rocky River, OH 44116
Phone (216) 534-2345

24803 Detroit Rd
Ste D1
Westlake, OH 44145
Phone (216) 831-6550

Practitioners & affiliated clinicians

Practitioners 10

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": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1740393545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24400 HIGHPOINT RD",
            "address_2": "STE # 6 COMPREHENSIVE PSYCHIATRIC SERVICES INC",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-831-6550",
            "fax_number": "216-831-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24400 HIGHPOINT RD",
            "address_2": "STE # 6 COMPREHENSIVE PSYCHIATRIC SERVICES INC",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226054",
            "telephone_number": "216-831-6550",
            "fax_number": "216-831-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PSYCHIATRIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "FRIEDELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "216-831-6550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "343179",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMP PSYCH",
            "identifier": "173750",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.