COMPREHENSIVE THERAPY CENTER INC NPI 1073658597

NPI Information

NPI: 1073658597
Provider Name: COMPREHENSIVE THERAPY CENTER INC
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
2505 ARDMORE ST SE
GRAND RAPIDS, MI
ZIP 49506
Phone: (616) 559-1054
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COMPREHENSIVE THERAPY CENTER INC is a voluntary or charitable in Grand Rapids, MI. COMPREHENSIVE THERAPY CENTER INC NPI is 1073658597. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2505 ARDMORE ST SE
GRAND RAPIDS, MI
ZIP 49506-924
Phone: (616) 559-1054
Fax: (616) 559-1056

The provider's authorized official is Jean C Silbar .
The authorized official title is Executive Director and has the following contact phone number (616) 559-1054.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 5/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	235Z00000X	Speech-Language Pathologist	7101000658	MICHIGAN	No
2	225X00000X	Occupational Therapist	5201006103	MICHIGAN	No
3	103T00000X	Psychologist	6301002435	MICHIGAN	No
4	251V00000X	Voluntary or Charitable	766216	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========050	OTHER	MICHIGAN	COMMUNITY CHOICE
2	QMXPR0018904	OTHER	MICHIGAN	MOLINA
3	4866078	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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