Active NPI
Innovative Therapy Group
- Community/Behavioral Health Agency
- Cleveland Heights, OH
National Provider Identifier
1417526773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- INNOVATIVE THERAPY GROUP
- Practice address
- 3492 Bendemeer Rd
Cleveland Heights, OH 44118-1913 - Phone
- (917) 485-1519
- NPI assigned
- Jun 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Shmuel Sicker
- Title
- Owner
- Phone
- (732) 523-0531
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
3492 Bendemeer Rd
Cleveland Heights, OH 44118-1913
Mailing address
3492 Bendemeer Rd
Cleveland Heights, OH 44118-1913
Phone (917) 485-1519
Other names 1
- ITG
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sam@itherapygroup.com | Direct | |
| Direct Messaging Address | sam@itherapygroup.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Innovative Therapy Group
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Lakewood, NJ
- NPI 1699105635
-
- Skilled Nursing Facility
- Lakewood, NJ
- NPI 1962831560
-
- Early Intervention Provider Agency
- Lakewood, NJ
- NPI 1972934115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624320000000",
"number": "1417526773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3492 BENDEMEER RD",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441181913",
"telephone_number": "917-485-1519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3492 BENDEMEER RD",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441181913",
"telephone_number": "917-485-1519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE THERAPY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A",
"authorized_official_last_name": "SICKER",
"authorized_official_first_name": "SHMUEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-523-0531",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sam@itherapygroup.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3492 Bendemeer Rd",
"city": "Cleveland Heights",
"state": "OH",
"country_code": "US",
"postal_code": "441181913",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sam@itherapygroup.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3492 Bendemeer Rd",
"city": "Cleveland Heights",
"state": "OH",
"country_code": "US",
"postal_code": "441181913",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "ITG",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "ITG",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cleveland Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.