NPIMap

Organization Active NPI

Cornell Interventions, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
National Provider Identifier
1598810764
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
A-8981-0019-A Issued in IL
Legal business name
CORNELL INTERVENTIONS, LLC
Practice address
5701 S Wood St
Chicago, IL 60636-1646
Phone
(773) 737-4600
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Shayna A Raver
Title
Contracts Director
Phone
(724) 622-4502

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X A-8981-0019-A IL Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

5701 S Wood St
Chicago, IL 60636-1646

Mailing address

2840 Liberty Ave Ste 300
Pittsburgh, PA 15222-4776
Phone (412) 201-4112

Other names 1

  • Cornell Interventions, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Cornell Companies14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1598810764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 LIBERTY AVE STE 300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152224776",
            "telephone_number": "412-201-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 S WOOD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606361646",
            "telephone_number": "773-737-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELL INTERVENTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "RAVER",
        "authorized_official_first_name": "SHAYNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CONTRACTS DIRECTOR",
        "authorized_official_telephone_number": "724-622-4502"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "A-8981-0019-A",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornell Interventions, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Cornell Interventions, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 9, 2025; 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.