Organization Active NPI

Ali Alstott, Am, LCSW, PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1124514419
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
149.019743 Issued in IL
Legal business name
ALI ALSTOTT, AM, LCSW, PLLC
Practice address
5640 N Tripp Ave
Chicago, IL 60646-2520
Phone
(217) 553-1406
NPI assigned
Jul 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Alison AlstottNPI 1588154264
Title
Owner
Phone
(773) 916-6576

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
Non-Surgical Family Planning Clinic/Center 261QF0050X 149.019743 IL
Adult Mental Health Clinic/Center 261QM0850X 149.019743 IL Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 149.019743 IL

Addresses

Primary practice location

5640 N Tripp Ave
Chicago, IL 60646-2520

Mailing address

5640 N Tripp Ave
Chicago, IL 60646-2520
Phone (217) 553-1406

National Provider Directory

National Provider Directory

Locations

5640 N Tripp Ave
Chicago, IL 60646
Phone (217) 553-1406

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1124514419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 N TRIPP AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606462520",
            "telephone_number": "217-553-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 N TRIPP AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606462520",
            "telephone_number": "217-553-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI ALSTOTT, AM, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "ALSTOTT",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-916-6576"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "IL",
            "license": "149.019743",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "149.019743",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IL",
            "license": "149.019743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.