Integrating Movement and Change LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

INTEGRATING MOVEMENT AND CHANGE LLC

Practice address

24500 Center Ridge Rd Ste 130
Westlake, OH 44145-5602

Phone

(216) 288-3501

NPI assigned

Dec 12, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Matthew John Corbett, LISW-SNPI 1730497306

Title

Sole Proprietor

Phone

(216) 288-3501

Specialties & licenses 1

Addresses

Other names 1

• Integrating Movement and Change LLC Doing business as

Locations

Practitioners 1

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

• Matthew J Corbett, LISW-SUPV

  • Clinical Social Worker
  • Garfield Heights, OH
  • NPI 1730497306
  NPD Authorized official

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1366259376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24500 CENTER RIDGE RD STE 130",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455602",
            "telephone_number": "216-288-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24500 CENTER RIDGE RD STE 130",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455602",
            "telephone_number": "216-288-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATING MOVEMENT AND CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "216-288-3501",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrating Movement and Change LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• McKenzie Sierra Ives
• Dunya Iwais, RBT
• Sarah Christine Jablonski, LISW-S

• Mental Health Clinic/Center (Including Community Mental Health Center) in Westlake, OH
• Providers in Westlake, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.