Healthcare Provider Details

I. General information

NPI: 1740758754
Provider Name (Legal Business Name): COMPREHENSIVE PSYCHIATRIC SOLUTIONS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2018
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1287 FULTON RD
SANTA ROSA CA
95401-4923
US

IV. Provider business mailing address

1450 W LONG LAKE RD STE 340
TROY MI
48098-6330
US

V. Phone/Fax

Practice location:
  • Phone: 707-800-7700
  • Fax:
Mailing address:
  • Phone: 248-905-5091
  • Fax: 248-905-5096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: HANA ATTAR
Title or Position: AUTHORIZED REPRESENTATIVE
Credential:
Phone: 248-905-5091