NPIMap

Organization Active NPI

Cornell Interventions

  • Substance Abuse Rehabilitation Facility
  • East Saint Louis, IL
National Provider Identifier
1902007800
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
A-8981-0017-A Issued in IL
Legal business name
CORNELL INTERVENTIONS
Practice address
302 N 5TH St
East Saint Louis, IL 62201-2913
Phone
(618) 271-4542
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeff Reavy
Title
Contract MGR
Phone
(630) 824-4547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X A-8981-0017-A IL Primary

Addresses

Primary practice location

302 N 5TH St
East Saint Louis, IL 62201-2913

Mailing address

302 N 5TH St
East Saint Louis, IL 62201-2913
Phone (618) 271-4542

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

Locations

302 N 5th St
East Saint Louis, IL 62201
Phone (618) 271-4542

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902007800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N 5TH ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622012913",
            "telephone_number": "618-271-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N 5TH ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622012913",
            "telephone_number": "618-271-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELL INTERVENTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REAVY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CONTRACT MGR",
        "authorized_official_telephone_number": "630-824-4547"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A-8981-0017-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Saint Louis, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.