COMPREHENSIVE GERIATRIC SERVICES INC PC (NPI# 1780639955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780639955 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE GERIATRIC SERVICES INC PC |
| Practice Address |
26811 Ryan Rd Warren MI 48091-4075 |
| Practice Telephone | 5867554433 |
| Practice Fax Number | 5867556655 |
| Mailing Telephone | 5867554433 |
| Mailing Fax Number | 5867556655 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. ROMAN J KOLODCHIN (OWNER) |
| Authorized Official Telephone | 5867554433 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
========= | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528007697 | Comprehensive Geriatric Services Inc PC | Psychiatry & Neurology | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-06-05 |
| 1437198504 | Comprehensive Geriatric Services Inc PC | Physician Assistant | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-06-05 |
| 1730128802 | Comprehensive Geriatric Services Inc PC | Social Worker | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-06-05 |
| 1649219718 | Comprehensive Geriatric Services Inc PC | Nurse Practitioner | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-06-05 |
| Street Address |
26811 RYAN RD |
| City | WARREN |
| State | MI |
| Zip Code | 48091-4075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639399090 | Anne Patricia Graff | Nurse Practitioner | 26811 Ryan Rd, Warren, MI 48091-4075 | 2007-04-26 |
| 1760588974 | Rita H Mcnally | Nurse Practitioner | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-09-15 |
| 1801832696 | Shuju Wang | Physician Assistant | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-06-21 |
| 1073558029 | Daniel Devries | Psychiatry & Neurology | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-06-16 |
| 1881639847 | Patricia Sperry | Social Worker | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-06-16 |
| 1255375846 | Roberta Walden | Social Worker | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-06-15 |
| 1689618092 | Arthur J Lewandowski | Psychologist | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-06-15 |
| 1689618076 | Robert Lacoste | Psychiatry & Neurology | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-06-15 |
| 1770523565 | Robeert Kelly | Social Worker | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-06-08 |
| 1730129529 | Ann Marie Mentz | Nurse Practitioner | 26811 Ryan Rd, Warren, MI 48091-4075 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548615172 | Amanda Lynn Kelsey | Nurse Practitioner | 21647 Ryan Road, Warren, MI 48091 | 2016-05-02 |
| 1902284474 | Daejana Maldonado | Licensed Practical Nurse | 7519 Toepfer, Warren, MI 48091 | 2015-05-15 |
| 1245637743 | Jerami Roy | Recreation Therapist | 7086 E 9 Mile, Warren, MI 48091 | 2014-11-26 |
| 1265698344 | Amanda Sarah Yousif-mansour | Dentist | 2442 E 10 Mile Road, Warren, MI 48091 | 2008-07-29 |
| 1326171166 | Sunshine Dental Center PC | Dentist | 21761 Ryan Rd, Warren, MI 48091 | 2007-03-13 |
| 1487709630 | Albert Spickers | General Practice | 26193 Meredith Drive, Warren, MI 48091 | 2007-01-25 |
| 1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
| 1790835452 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2000 Ten Mile Rd., Warren, MI 48091 | 2007-01-12 |
| 1942363759 | Carolyn Joan Sucaet | Physical Therapist | 20952 12 Mile Road, Suite 110, St. Clair Shores, FM 48091 | 2006-12-19 |
| 1013070135 | Mcnichols Xray Clinic PC | Radiology | 21230 Dequindre Road, Southeast Michigan Surgical Hospital, Warren, MI 48091 | 2006-12-19 |
| Find all providers in zip 48091 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
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|---|---|---|---|---|
| 1124132899 | Voyage Counseling Center P.C. | Psychologist | 38345 W 10 Mile Rd, Suite 150, Farmington Hills, MI 48335-2867 | 2006-08-18 |
| 1114934940 | Mary Franzen Clark | Psychologist | 41820 6 Mile Rd, 104, Northville, MI 48168-2763 | 2006-08-02 |
| 1184659773 | Meridian Human Services | Psychologist | 25820 Southfield Rd, Ste 107, Southfield, MI 48075-1826 | 2006-07-11 |
| 1104423888 | Sw Ann Arbor PC | Psychologist | 625 E Liberty St Ste 205, Ann Arbor, MI 48104-2013 | 2020-10-05 |
| 1528672615 | Lansing Psychological Associates PC | Psychologist | 2001 Abbot Rd, East Lansing, MI 48823-1400 | 2020-09-04 |
| 1851655195 | Todd Isreal Dixon | Psychologist | 3830 Lamson St, Saginaw, MI 48601-4169 | 2012-07-02 |
| 1528282597 | Center for Neuropsychology & Learning | Psychologist | 5864 Interface Dr Ste D, Ann Arbor, MI 48103-9514 | 2007-04-12 |
| 1578681649 | Progressive Neuro-psychiatry, P.C. | Psychologist | 29240 Buckingham St, Suite 8a, Livonia, MI 48154-4575 | 2007-03-27 |
| 1891824280 | Dawn Anne Bouaouad | Psychologist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2007-03-03 |
| 1558459164 | Cherry Street Services, Inc. | Psychologist | 550 Cherry St Se, Grand Rapids, MI 49503-4748 | 2006-10-10 |
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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.