MEDICARE: COMPREHENSIVE PSYCHIATRIC SERVICES, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1265528483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE PSYCHIATRIC SERVICES, P.C.

Provider Business Mailing Address
First Line	:	1703 BELLWOOD CT
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-2601
Country	:	US
Telephone Number	:	248-932-2500
Fax Number	:	248-932-2506

Provider Business Practice Location Address
First Line	:	1703 BELLWOOD CT
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-2601
Country	:	US
Telephone Number	:	248-932-2500
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. TOBY HAZAN
Credential	:	M.D.
Telephone Number	:	248-932-2500

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	12/01/2020

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