NPIMap

Organization Active NPI

Motor Control Restoration

  • Psychologist
  • Beachwood, OH
National Provider Identifier
1184008419
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MOTOR CONTROL RESTORATION
Practice address
21403 Chagrin Blvd Ste 212
Beachwood, OH 44122-5322
Phone
(216) 346-5673
NPI assigned
Jul 16, 2015
Last updated
Sep 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Authorized official

Name
Jeffrey E Bolek, MDNPI 1134217532
Title
Owner
Phone
(216) 346-5673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

21403 Chagrin Blvd Ste 212
Beachwood, OH 44122-5322

Mailing address

21403 Chagrin Blvd Ste 212
Beachwood, OH 44122-5322
Phone (216) 346-5673

Other names 1

  • Motor Control Restoration, LLC Other name

National Provider Directory

National Provider Directory

Locations

21403 Chagrin Blvd
Ste 212
Beachwood, OH 44122
Phone (216) 346-5673

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1184008419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21403 CHAGRIN BLVD STE 212",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225322",
            "telephone_number": "216-346-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21403 CHAGRIN BLVD STE 212",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225322",
            "telephone_number": "216-346-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTOR CONTROL RESTORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "BOLEK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-346-5673",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Motor Control Restoration, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.