Active NPI
New Choice Intervention, Inc.
- Substance Use Disorder Rehabilitation Clinic/Center
- Harvey, IL
National Provider Identifier
1093394215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- NEW CHOICE INTERVENTION, INC.
- Doing business as
- New Choice Intervention, Inc.
- Practice address
- 142 E 154TH St
Harvey, IL 60426-3326 - Phone
- (708) 566-1768
- Fax
- (708) 566-1786
- NPI assigned
- Apr 5, 2021
- Last updated
- Jun 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tunde O Ali, PHD, ACSW, QIDP, EIS
- Title
- President/Ceo
- Phone
- (708) 566-1768
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary | ||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X |
Addresses
Primary practice location
142 E 154TH St
Harvey, IL 60426-3326
Mailing address
142 E 154TH St
Harvey, IL 60426-3326
Phone (708) 566-1768
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14007 | Medicaid | IL | |
| 1275967226 | Medicaid | IL |
Other names 2
- New Choice Intervention, Inc.
- New Choice Intervention, Inc
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Harvey | Health Information Exchange (HIE) | |
| CONNECT URL | Harvey | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- New Choice Intervention Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Calumet City, IL
- NPI 1659088284
Locations
142 E 154th St
Harvey, IL 60426
Phone (708) 566-1768
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Student in an Organized Health Care Education/Training Program
- Harvey, IL
- NPI 1215722756
-
- Developmental Therapist
- Harvey, IL
- NPI 1942704028
-
- Clinical Social Worker
- South Holland, IL
- NPI 1780917252
-
- Acute Care Nurse Practitioner
- Bourbonnais, IL
- NPI 1841732773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623283200000",
"number": "1093394215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 E 154TH ST",
"city": "HARVEY",
"state": "IL",
"postal_code": "604263326",
"telephone_number": "708-566-1768",
"fax_number": "708-566-1786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 E 154TH ST",
"city": "HARVEY",
"state": "IL",
"postal_code": "604263326",
"telephone_number": "708-566-1768",
"fax_number": "708-566-1786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW CHOICE INTERVENTION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-05",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A",
"authorized_official_last_name": "ALI",
"authorized_official_first_name": "TUNDE",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "708-566-1768",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, ACSW, QIDP, EIS"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14007",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275967226",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Harvey",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "142 E 154th St",
"city": "Harvey",
"state": "IL",
"country_code": "US",
"postal_code": "604263326",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Harvey",
"affiliation": "N",
"endpointDescription": "N/A",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "142 E 154th St",
"city": "Harvey",
"state": "IL",
"country_code": "US",
"postal_code": "604263326",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "New Choice Intervention, Inc.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "New Choice Intervention, Inc",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "New Choice Intervention, Inc",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Harvey, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.