Active NPI
John Alexander Israel Consulting Inc
- Psychologist
- Michigan City, IN
National Provider Identifier
1942438718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20042094A
- Legal business name
- JOHN ALEXANDER ISRAEL CONSULTING INC
- Practice address
- 1401 S Woodland Ave Ste 3
Michigan City, IN 46360-7189 - Phone
- (219) 877-4758
- NPI assigned
- Jun 30, 2009
- 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
- Tracy L Freeze
- Title
- Practice Administrator
- Phone
- (219) 926-8320
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20042094A | IN | Primary |
Addresses
Primary practice location
1401 S Woodland Ave Ste 3
Michigan City, IN 46360-7189
Mailing address
PO Box 2257
Chesterton, IN 46304-0357
Phone (219) 926-8320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000522563 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1401 S Woodland Ave
Ste 3
Michigan City, IN 46360
Phone (219) 877-4758
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Michigan City, IN
- NPI 1457429722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738540800000",
"number": "1942438718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2257",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463040357",
"telephone_number": "219-926-8320",
"fax_number": "219-926-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S WOODLAND AVE STE 3",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463607189",
"telephone_number": "219-877-4758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN ALEXANDER ISRAEL CONSULTING INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-30",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A",
"authorized_official_last_name": "FREEZE",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "219-926-8320"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "IN",
"license": "20042094A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000522563",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.