Organization Active NPI

Northern Ohio Recovery Association

  • Community/Behavioral Health Agency
  • Cleveland, OH
National Provider Identifier
1952447393
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
12603 Issued in OH
Legal business name
NORTHERN OHIO RECOVERY ASSOCIATION
Practice address
1400 E 55TH St
Cleveland, OH 44103-1304
Phone
(216) 391-6672
Fax
(216) 391-4633
NPI assigned
Jan 30, 2007
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Anita BradleyNPI 1396251021
Title
Ceo
Phone
(216) 391-6672

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 12603 OH Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1400 E 55TH St
Cleveland, OH 44103-1304

Mailing address

3746 Prospect Ave E
Cleveland, OH 44115-2706
Phone (216) 391-6672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210923003467 OH Part B Supplier - Clinic/Group Practice 0345647921 Receives reassigned benefits from 2 practitioners
Practice locations: Cleveland, OH

National Provider Directory

National Provider Directory
Tax ID family
Northern Ohio Recovery Association3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1952447393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3746 PROSPECT AVE E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152706",
            "telephone_number": "216-391-6672",
            "fax_number": "216-391-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E 55TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441031304",
            "telephone_number": "216-391-6672",
            "fax_number": "216-391-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN OHIO RECOVERY ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-391-6672"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "12603",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.