Organization Active NPI

Northeastern Ohio Recovery Association

  • Behavior Analyst
  • Maple Heights, OH
National Provider Identifier
1508621616
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
NORTHEASTERN OHIO RECOVERY ASSOCIATION
Practice address
17825 Libby Rd
Maple Heights, OH 44137-1509
Phone
(216) 369-8550
NPI assigned
Feb 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Ms. April Ann Weidus, NA
Title
Behavioral Health Technition
Phone
(216) 727-5663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

17825 Libby Rd
Maple Heights, OH 44137-1509

Mailing address

1400 E 55TH St
Cleveland, OH 44103-1304
Phone (216) 391-6672

National Provider Directory

National Provider Directory

Locations

1400 E 55th St
Cleveland, OH 44103
Phone (216) 391-6672

17825 Libby Rd
Maple Heights, OH 44137
Phone (216) 369-8550

Practitioners & affiliated clinicians

Practitioners 5

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": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1508621616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E 55TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441031304",
            "telephone_number": "216-391-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17825 LIBBY RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441371509",
            "telephone_number": "216-369-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN OHIO RECOVERY ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-17",
        "status": "A",
        "authorized_official_last_name": "WEIDUS",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH TECHNITION",
        "authorized_official_telephone_number": "216-727-5663",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.