Organization
COMPREHENSIVE OUTPATIENT SERVICES, INC
Active
Parent organization
COMPREHENSIVE OUTPATIENT SERVICES INC
Other names
RIVERFRONT COUNSELING CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMPREHENSIVE OUTPATIENT SERVICES INC
Authorized official
DR. BRUCE LESLIE MERMELSTEIN ED D (PRESIDENT)
(617) 527-4610
Entity
Organization
Contact information
Practice address
76 SUMMER ST, FITCHBURG, MA 01420-5783
(978) 345-6729
(978) 342-7503
Mailing address
76 SUMMER ST, FITCHBURG, MA 01420-5783
(978) 345-6729
(978) 342-7503
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4196
MA
101YM0800X
Mental Health Counselor
4196
MA
101YP2500X
Professional Counselor
4196
MA
101YS0200X
School Counselor
4196
MA
103T00000X
Psychologist
4196
MA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
4196
MA
103TC0700X
Clinical Psychologist
4196
MA
103TC2200X
Clinical Child & Adolescent Psychologist
4196
MA
103TF0000X
Family Psychologist
4196
MA
103TP2701X
Group Psychotherapy Psychologist
4196
MA
1041C0700X
Clinical Social Worker
4196
MA
106H00000X
Marriage & Family Therapist
4196
MA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
4196
MA
2084P0800X
Psychiatry Physician
4196
MA
251S00000X
Community/Behavioral Health Agency
Primary
4196
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000930
BEACON
MA
05
—
1300491
—
MA
01
—
600022632
MAGELLAN
MA
01
—
701784
TUFTS
MA
01
—
M18559
BCBS
MA
01
—
M18560
BCBS
MA
01
—
M18561
BCBS
MA
01
—
M21821
GROUP P TAN
MA
Enumeration date
03/01/2007
Last updated
08/16/2013
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