The Center for Independencellc Behavioral Health and Sport Performance

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E0001871 Issued in OH

Legal business name

THE CENTER FOR INDEPENDENCELLC BEHAVIORAL HEALTH AND SPORT PERFORMANCE

Practice address

1600 E Royalton Rd
Broadview Heights, OH 44147-2549

Phone

(216) 402-8200

NPI assigned

Feb 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Lynn Musarra, LPCC PHD

Title

Owner

Phone

(216) 402-8200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679545479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8137 BISHOPS CT",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "44147",
            "telephone_number": "216-402-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E ROYALTON RD",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472549",
            "telephone_number": "216-402-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR INDEPENDENCELLC BEHAVIORAL HEALTH AND SPORT PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUSARRA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-402-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPCC PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "OH",
            "license": "E0001871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Stone, RN
• Erin Colleen Sweeney, MA,CCC,SLP
• Jonathan Tartara
• Alyssa B Taylor, LM
• Jock Neil Taylor, M.D.
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• The Heights Rehabilitation and Healthcare Center LLC

• Counselor in Broadview Heights, OH
• Providers in Broadview Heights, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.