COMPREHENSIVE BEHAVIORAL HEALTH ASSOCIATES, INC. (NPI# 1114985413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114985413 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE BEHAVIORAL HEALTH ASSOCIATES, INC. |
| Practice Address |
104 Javit Ct Youngstown OH 44515-2409 |
| Practice Telephone | 3307974050 |
| Practice Fax Number | 3307974090 |
| Mailing Telephone | 3307974050 |
| Mailing Fax Number | 3307974090 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2017-05-23 |
| Authorized Official Name | DR. KOTESWARA KAZA (PRESIDENT) |
| Authorized Official Telephone | 3307974050 |
| Authorized Official Credential | M.D. ABPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
042814 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 10985 | 05 | |
| OH | 10986 | 05 | |
| OH | 2047396 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033268859 | Comprehensive Behavioral Health Associates, Inc. | Counselor | 104 Javit Ct, Austintown, OH 44515-2409 | 2007-01-10 |
| Street Address |
104 JAVIT CT |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44515-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427663608 | Taylor Marie Brown | Counselor | 104 Javit Ct, Youngstown, OH 44515-2439 | 2020-09-14 |
| 1316589336 | Megan Ann Demos | Nurse Practitioner | 104 Javit Ct, Youngstown, OH 44515-2439 | 2019-10-10 |
| 1922656446 | Christine Ann Mcallister | Student in an Organized Health Care Education/Training Program | 104 Javit Ct, Youngstown, OH 44515-2439 | 2019-08-28 |
| 1346802121 | Jocilyn Marie Csernyik | Case Manager/Care Coordinator | 104 Javit Ct, Youngstown, OH 44515-2439 | 2019-07-02 |
| 1740841121 | Adam Stevens | Case Manager/Care Coordinator | 104 Javit Ct, Youngstown, OH 44515-2439 | 2019-06-26 |
| 1497234967 | Joseph Victor Porreca Sr. | Case Manager/Care Coordinator | 104 Javit Ct, Youngstown, OH 44515-2439 | 2018-08-07 |
| 1881173359 | Nicole Belynda Thornton | Case Manager/Care Coordinator | 104 Javit Ct, Youngstown, OH 44515-2439 | 2018-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505423 | Kelly Lynn Gargas | Registered Nurse | 1051 N Canfiled Niles Rd, Austintown, OH 44515 | 2020-07-20 |
| 1184241648 | Tashandi Magnus | Counselor | 45 N. Canfield Niles Rd., Austintown, OH 44515 | 2020-07-01 |
| 1255829925 | Edward M Vancise | Counselor | 2902 Penny Lane, Austintown, OH 44515 | 2018-04-27 |
| 1932627940 | Erin Michelle Rodgers | Occupational Therapist | 331 N. Yorkshire Blvd., Austintown, OH 44515 | 2017-08-30 |
| 1598281180 | Kathryn Elizabeth Pontius | Home Health | 209 North Yorkshire Blvd, Austintown, OH 44515 | 2017-08-16 |
| 1508387515 | Ashley Bryant | Registered Nurse | 1355 Maplecrest Dr, Youngstown, OH 44515 | 2017-06-29 |
| 1306384706 | Joyce Owens | Behavior Technician | 238 S. Meridian Rd., Austintown, OH 44515 | 2017-02-06 |
| 1982057493 | Renee K Morgan | Social Worker | 5204 Mahoning Ave Ste 105, Austintown, OH 44515 | 2016-07-20 |
| 1609266808 | Regina Leigh Cowell | Physical Therapist | 1450 South Canfield-niles Rd., Youngstown, OH 44515 | 2015-01-27 |
| 1942624507 | Susan Hogan | Speech-Language Pathologist | 245 Idaho Road Lynn Kirk Loop, Youngstown, OH 44515 | 2014-02-18 |
| Find all providers in zip 44515 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811545999 | Ishmael Samuel Brown | Counselor | 2111 Belmont Ave Ste 5, Youngstown, OH 44505-2428 | 2019-08-31 |
| 1477057388 | Thomas Ross Dewey | Counselor | 4531 Belmont Ave Ste 9, Youngstown, OH 44505-1041 | 2018-03-23 |
| 1427338599 | Jim Mcgaha & Associates,inc. | Counselor | 2023 Belmont Ave Ste 10, Youngstown, OH 44505-2411 | 2011-08-22 |
| 1710010079 | Shonda Layton | Counselor | 142 Javit Ct, Youngstown, OH 44515-2409 | 2007-03-14 |
| 1073604773 | Nancy A Leskovac | Counselor | 1226 Florencedale Ave, Youngstown, OH 44505-2852 | 2006-09-27 |
| 1831175793 | Suzanne Kay Rintala | Counselor | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2005-12-21 |
| 1992302129 | Shanelle N Toney | Counselor | 711 Belmont Ave, Youngstown, OH 44502-1039 | 2020-10-01 |
| 1194322321 | Juliana Marie Cario | Counselor | 711 Belmont Ave, Youngstown, OH 44502-1039 | 2020-10-01 |
| 1831796069 | Julia Coffin | Counselor | 711 Belmont Ave, Youngstown, OH 44502-1039 | 2020-10-01 |
| 1376175562 | Haley A Donaldson | Counselor | 711 Belmont Ave, Youngstown, OH 44502-1039 | 2020-02-06 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44515 |
Please comment or provide details below to improve the information on COMPREHENSIVE BEHAVIORAL HEALTH ASSOCIATES, INC..
| 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.