NPIMap

Organization Active NPI

Comprehensive Psychiatric Resources

  • Registered Dietitian
  • Waltham, MA
National Provider Identifier
1851664767
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2793 Issued in MA
Legal business name
COMPREHENSIVE PSYCHIATRIC RESOURCES
Practice address
203 Crescent St
Suite 110
Waltham, MA 02453
Phone
(781) 647-0066
Fax
(781) 899-4905
NPI assigned
Feb 23, 2012
Organization subpart
Yes
Parent organization
COMPREHENSIVE PSYCHIATRIC RESOURCESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 2793 MA Primary

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 Inc2 organizations share this tax ID, including this one
Part of
Comprehensive Psychiatric Resources Inc

Other organizations with this tax ID 1

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

Locations

203 Crescent St
Ste 110
Waltham, MA 02453
Phone 7816470066 ext. 14

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1851664767",
    "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",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE PSYCHIATRIC RESOURCES",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "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": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.

Verify at the official NPI Registry.