Comprehensive Outpatient Services, Inc in Fitchburg - Clinical Child & Adolescent
Comprehensive Outpatient Services, Inc - NPI 1083742365
Comprehensive Outpatient Services, Inc is a Clinical Child & Adolescent in Fitchburg, Massachusetts. Comprehensive Outpatient Services, Inc practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Comprehensive Outpatient Services, Inc is 1083742365. The last update date is 2013-08-16.
Comprehensive Outpatient Services, Inc's current location address is 76 Summer St, Fitchburg, Massachusetts. You can contact this provider via phone number 9783456729 and fax number 9783427503. The mailing address for Comprehensive Outpatient Services, Inc is 76 Summer St, Fitchburg, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Comprehensive Outpatient Services, Inc |
|---|---|
| Address | 76 Summer St, Fitchburg, Massachusetts |
| Phone Number | 9783456729 |
| Fax Number | 9783427503 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mermelstein Leslie Bruce |
| Credentials | ED D |
| Telephone Number | 6175274610 |
NPI Number Detail
| NPI Number | 1083742365 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2013-08-16 |
Provider Mailing Address Detail
| Address | 76 Summer St |
|---|---|
| City | Fitchburg |
| State | Massachusetts (MA) |
| Post Code | 14205783 |
| Phone Number | 9783456729 |
| Fax Number | 9783427503 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 4196 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 701784 | MA | TUFTS | |
| 1000930 | MA | BEACON | |
| 1300491 | MA | -- | |
| 600022632 | MA | MAGELLAN | |
| M18559 | MA | BCBS | |
| M18560 | MA | BCBS | |
| M18561 | MA | BCBS | |
| M21821 | MA | GROUP P TAN |
Post Comment/ Review Below
What is the unique identification code assigned to Comprehensive Outpatient Services, Inc by the Centers for Medicare & Medicaid Services?
The Comprehensive Outpatient Services, Inc has been issued the NPI (National Provider Identifier) 1083742365. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Comprehensive Outpatient Services, Inc?
The Comprehensive Outpatient Services, Inc is physically situated at 76 Summer St, in the city of Fitchburg, state of MA, with the postal code 14205783.
What is Comprehensive Outpatient Services, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Comprehensive Outpatient Services, Inc is Clinical Child & Adolescent, and the taxonomy code that categorizes this field of expertise is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1083742365 to Comprehensive Outpatient Services, Inc?
The Centers for Medicare & Medicaid Services assigned the 1083742365 to Comprehensive Outpatient Services, Inc on 2007-03-01.
As of what date was the information regarding Comprehensive Outpatient Services, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Comprehensive Outpatient Services, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-08-16.