NPIMap

Organization Active NPI

Northeast Reintegration Center

  • Community/Behavioral Health Agency
  • Cleveland, OH
National Provider Identifier
1013319599
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5787 Issued in OH
Legal business name
NORTHEAST REINTEGRATION CENTER
Practice address
2675 E 30TH St
Cleveland, OH 44115-3000
Phone
(216) 771-6460
Fax
(216) 623-0992
NPI assigned
Sep 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Grace Motyka, PH. D.
Title
Psychologist
Phone
(216) 771-6460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5787 OH Primary

Addresses

Primary practice location

2675 E 30TH St
Cleveland, OH 44115-3000

Mailing address

2675 E 30TH St
Cleveland, OH 44115-3000
Phone (216) 771-6460

Other identifiers 1

IdentifierTypeStateIssuer
GTMOTYKAMedicaidOH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0880645Northeast Reintegration Center, the2675 E 30TH St B Building, Cleveland, OH 44115Certificate of waiverMar 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Community Care Services456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

2675 E 30th St
Cleveland, OH 44115
Phone (216) 771-6460

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1013319599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 E 30TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153000",
            "telephone_number": "216-771-6460",
            "fax_number": "216-623-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 E 30TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153000",
            "telephone_number": "216-771-6460",
            "fax_number": "216-623-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST REINTEGRATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "MOTYKA",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "216-771-6460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "5787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GTMOTYKA",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.