COMPREHENSIVE COUNSELING CENTER PC (NPI# 1093711459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093711459 |
Entity Type | Organization |
Organization Name | COMPREHENSIVE COUNSELING CENTER PC |
Practice Address |
11885 E 12 Mile Rd Ste. 201a Warren MI 48093-3474 |
Practice Telephone | 5865586000 |
Practice Fax Number | 5865586679 |
Mailing Telephone | 5865586000 |
Mailing Fax Number | 5865586679 |
Enumeration Date | 2005-06-21 |
Last Update Date | 2012-01-05 |
Authorized Official Name | SUDHIR V LINGNURKAR MD (PRESIDENT/OWNER) |
Authorized Official Telephone | 5865586000 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
0000000000 | MI | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BLUE CARE NETWORK ID | 338940 | 01 |
MI | BLUE CROSS/BLUE SHIELD ID | 750910346 | 01 |
Street Address |
11885 E 12 MILE RD STE. 201A |
City | WARREN |
State | MI |
Zip Code | 48093-3474 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801417373 | Shayla Patton | Student in an Organized Health Care Education/Training Program | 11885 E 12 Mile Rd, Warren, MI 48093-3474 | 2020-05-06 |
1184244352 | Jessica Frazelle Mcdaniel | Student in an Organized Health Care Education/Training Program | 11885 E 12 Mile Rd, Warren, MI 48093-3474 | 2020-04-17 |
1710540950 | Jessica Marie Fisher | Nurse Practitioner | 11885 E 12 Mile Rd, Warren, MI 48093-3474 | 2019-04-14 |
1285094706 | Kathleen Anne Quinn | Obstetrics & Gynecology | 11885 E 12 Mile Rd, Suite 202a, Warren, MI 48093-3474 | 2016-02-25 |
1770822306 | Sudhir Lingnurkar Md Plc | Psychiatry & Neurology | 11885 E 12 Mile Rd, Ste 204a, Warren, MI 48093-3474 | 2013-02-01 |
1871856310 | Joshua Aaron Rosenbloom | Internal Medicine | 11885 E 12 Mile Rd, Ste. 300a, Warren, MI 48093-3474 | 2012-06-20 |
1710249826 | Shirley Orock Ayuk-takem | Internal Medicine | 11885 E 12 Mile Rd, Ste. 300a, Warren, MI 48093-3474 | 2012-06-14 |
1053672048 | Hamid Abbas Afsari | Internal Medicine | 11885 E 12 Mile Rd, Ste. 300a, Warren, MI 48093-3474 | 2012-06-06 |
1497015002 | Jake Graehm Halvorsen | Internal Medicine | 11885 E 12 Mile Rd, Ste. 300a, Warren, MI 48093-3474 | 2012-05-17 |
1366701989 | Kara Linn Totonchi | Obstetrics & Gynecology | 11885 E 12 Mile Rd, Ste. 202a, Warren, MI 48093-3474 | 2012-05-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
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Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
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1649661687 | Specialty Care Counseling Services, Ltd | Clinic/Center | 2000 E Market St, Warren, OH 44483-6156 | 2015-02-12 |
1558664961 | Valley Counseling | Clinic/Center | 150 E Market St, Warren, OH 44481-1141 | 2010-12-08 |
1750607057 | Family & Community Services Inc | Clinic/Center | 150 E Market St, Warren, OH 44481-1141 | 2010-04-12 |
1114256641 | Abc Psychiatric Consultant LLC | Clinic/Center | 31 Mountain Blvd, Suite 31w, Warren, NJ 07059-5644 | 2009-12-11 |
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1306484175 | Joy Counseling Services Pllc | Clinic/Center | 1000 W Maple Rd Ste 108, Troy, MI 48084-5306 | 2019-12-12 |
1922646751 | Tranquility Christian Counseling Inc | Clinic/Center | 24100 Southfield Rd Ste 320f, Southfield, MI 48075-2819 | 2019-12-11 |
1982241964 | Marquette Counseling Service | Clinic/Center | Lori Johnson, 112 W Washington Street Ste A, Marquette, MI 49855-3844 | 2019-12-09 |
1033769534 | Honor First | Clinic/Center | 25801 Harper Ave, Saint Clair Shores, MI 48081-2233 | 2019-09-17 |
1871140681 | Modern Family Counseling Center | Clinic/Center | 4195 Barcroft Way, West Bloomfield, MI 48323-1803 | 2019-08-26 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.