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General NPI Number Information
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NPI Number | 1659764249
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE MINDS LLC
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Dates
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Enumeration Date | 03/06/2015
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 7500 TOWN CENTRE DR STE 300
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City | BROADVIEW HTS
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State | OH
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Zip | 44147-4048
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Country | US
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Telephone | 440-554-0035
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Fax | 440-596-1178
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Provider Business Mailing Address
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Address Line | 7500 TOWN CENTRE DR STE 300
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City | BROADVIEW HTS
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State | OH
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Zip | 44147-4048
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Country | US
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Telephone | 440-554-0035
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Fax | 440-596-1178
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Authorized Official
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Title or Position | PHYSICIAN
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Name | SONIA PRAFUL DESAI
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Credential | MD
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Telephone | 440-554-0035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35-125659
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License Number State | OH
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