NPIMap

Organization Active NPI

New Life Alternatives LLC

  • Multi-Specialty Clinic/Center
  • Berkley, MI
National Provider Identifier
1033759659
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NEW LIFE ALTERNATIVES LLC
Practice address
3281 Coolidge Hwy
Berkley, MI 48072-1633
Phone
(313) 915-9138
Fax
(313) 216-2776
NPI assigned
Jan 11, 2020
Last updated
Jul 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Severia Adolphus, PMHNP-BCNPI 1992939052
Title
Clinical Director
Phone
(313) 915-9138

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
Clinic/Center 261Q00000X
Multi-Specialty Clinic/Center 261QM1300X Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X

Addresses

Primary practice location

3281 Coolidge Hwy
Berkley, MI 48072-1633

Mailing address

24340 Dante St
Oak Park, MI 48237-3610
Phone (313) 915-9138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211110002126 GA Part B Supplier - Clinic/Group Practice 7810386976 Receives reassigned benefits from 1 practitioner
Practice locations: Johns Creek, GA
O20211201001531 MI Part B Supplier - Clinic/Group Practice 7810386976 Receives reassigned benefits from 11 practitioners
Practice locations: Berkley, MI

National Provider Directory

National Provider Directory

Locations

3281 Coolidge Hwy
Berkley, MI 48072
Phone (313) 915-9138

31235 Harper Ave
Ste 244
Saint Clair Shores, MI 48082
Phone (313) 334-8402

Practitioners & affiliated clinicians

Practitioners 12

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": "1578700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1033759659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24340 DANTE ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373610",
            "telephone_number": "313-915-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3281 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721633",
            "telephone_number": "313-915-9138",
            "fax_number": "313-216-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE ALTERNATIVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-11",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "ADOLPHUS",
        "authorized_official_first_name": "SEVERIA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "313-915-9138",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.