NPIMap

Organization Active NPI

West Mock Associates, Inc Dba Center for Interpersonal Development

Doing business as Center for Interpersonal Development

  • Counselor
  • Lakewood, OH
National Provider Identifier
1649303512
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
I0031096 Issued in OH
Legal business name
WEST MOCK ASSOCIATES, INC DBA CENTER FOR INTERPERSONAL DEVELOPMENT
Doing business as
Center for Interpersonal Development
Practice address
14650 Detroit Avenue
Suite LL40
Lakewood, OH 44107
Phone
(216) 226-2721
Fax
(216) 226-2731
NPI assigned
Mar 13, 2007
Last updated
Dec 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Mrs. Barbara S. Swimmer, LISW-S SAPNPI 1689805376
Title
Director
Phone
(216) 226-2721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X I0031096 OH Primary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X 071029 OH
Addiction (Substance Use Disorder) PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TA0400X 3760 OH

Addresses

Primary practice location

14650 Detroit Avenue
Suite LL40
Lakewood, OH 44107

Mailing address

14650 Detroit Avenue
Suite LL40
Lakewood, OH 44107
Phone (216) 226-2721

Other identifiers 1

IdentifierTypeStateIssuer
3029252MedicaidOH

Other names 1

  • Center for Interpersonal Development Doing business as

National Provider Directory

National Provider Directory

Locations

14650 Detroit Ave
Ste LL30
Lakewood, OH 44107
Phone (216) 226-2721

14650 Detroit Ave
Ste LL40
Lakewood, OH 44107
Phone (216) 226-2721

Practitioners & affiliated clinicians

Practitioners 3

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1649303512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 DETROIT AVENUE",
            "address_2": "SUITE LL40",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "44107",
            "telephone_number": "216-226-2721",
            "fax_number": "216-226-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 DETROIT AVENUE",
            "address_2": "SUITE LL40",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "44107",
            "telephone_number": "216-226-2721",
            "fax_number": "216-226-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MOCK ASSOCIATES, INC DBA CENTER FOR INTERPERSONAL DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "SWIMMER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "216-226-2721",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW-S SAP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "OH",
            "license": "I0031096",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "OH",
            "license": "071029",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "3760",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3029252",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Interpersonal Development",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.