Active NPI
Comprehensive Psychiatric Resources, Inc
- Psychiatry Physician
- Waltham, MA
National Provider Identifier
1841563558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 70333
- Legal business name
- COMPREHENSIVE PSYCHIATRIC RESOURCES, INC
- Practice address
- 203 Crescent St.
Suite 110
Waltham, MA 02453 - Phone
- (781) 647-0066
- Fax
- (781) 899-4905
- NPI assigned
- Feb 13, 2012
- 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
- Mr. Matthew R Berkey
- Title
- Office Manager
- Phone
- (781) 647-0066
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6577 | MA | |
| Social Worker | 104100000X | 114896 (LICSW) | MA | |
| Social Worker | 104100000X | 116604 (LICSW) | MA | |
| Social Worker | 104100000X | 217495 (LCSW) | MA | |
| Registered Dietitian | 133V00000X | 2793 (RD) | MA | |
| Psychiatry Physician | 2084P0800X | 70333 | MA | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN238050 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN258504 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN163877 | MA |
Addresses
Primary practice location
203 Crescent St.
Suite 110
Waltham, MA 02453
Mailing address
203 Crescent St.
Suite 110
Waltham, MA 02453
Phone (781) 647-0066
National Provider Directory
National Provider Directory- Tax ID family
- Comprehensive Psychiatric Resources Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Registered Dietitian
- Waltham, MA
- NPI 1851664767
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Registered Dietitian
- Waltham, MA
- NPI 1851664767
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Andover, MA
- NPI 1760643274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329091200000",
"number": "1841563558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 CRESCENT ST.",
"address_2": "SUITE 110",
"city": "WALTHAM",
"state": "MA",
"postal_code": "02453",
"telephone_number": "781-647-0066",
"fax_number": "781-899-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 CRESCENT ST.",
"address_2": "SUITE 110",
"city": "WALTHAM",
"state": "MA",
"postal_code": "02453",
"telephone_number": "781-647-0066",
"fax_number": "781-899-4905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE PSYCHIATRIC RESOURCES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-13",
"last_updated": "2012-02-13",
"status": "A",
"authorized_official_last_name": "BERKEY",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "781-647-0066",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "6577",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "MA",
"license": "114896 (LICSW)",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "MA",
"license": "116604 (LICSW)",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "MA",
"license": "217495 (LCSW)",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "2793 (RD)",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "70333",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN238050",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN258504",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN163877",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
- Commonwealth of Massachusetts
- Communicative Health Care Associates Inc.
- Compassion Counts Senior Care, LLC
- Compassionate Healthcare Services Inc.
- Comprehensive Psychiatric Resources
- Dhayanara Dhelsayrys Concepcion Guzman
- Deborah Winsor Conley, LICSW
- Lindsay Conley, MA
- Rebecca F Connor, M.D.
- Caitlin Elaine Conroy, PSYD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.