Active NPI
Comprehensive Behavior Inc PSC
- Psychiatry Physician
- Harrodsburg, KY
National Provider Identifier
1790080802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- COMPREHENSIVE BEHAVIOR INC PSC
- Practice address
- 464 Linden Ave
Harrodsburg, KY 40330-1882 - Phone
- (859) 733-5842
- NPI assigned
- Jan 20, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rizwan Ali, M.D.
- Title
- President
- Phone
- (859) 492-9230
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
464 Linden Ave
Harrodsburg, KY 40330-1882
Mailing address
PO Box 910366
Lexington, KY 40591-0366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110211000403 | KY | Part B Supplier - Clinic/Group Practice | 6709066426 |
Receives reassigned benefits from 1 practitioner Practice locations: Radcliff, KY; Harrodsburg, KY |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1295481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295481600000",
"number": "1790080802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 910366",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405910366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 LINDEN AVE",
"city": "HARRODSBURG",
"state": "KY",
"postal_code": "403301882",
"telephone_number": "859-733-5842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE BEHAVIOR INC PSC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-20",
"last_updated": "2011-01-20",
"status": "A",
"authorized_official_last_name": "ALI",
"authorized_official_first_name": "RIZWAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "859-492-9230",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrodsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.