Individual provider Active NPI

Farida Ali, M.D

  • Child & Adolescent Psychiatry Physician
  • Fort Worth, TX
National Provider Identifier
1073521019
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
L9996 Issued in TX
Practice address
1220 W Presidio St
Fort Worth, TX 76102
Phone
(214) 521-8489
NPI assigned
Aug 4, 2006
Last updated
May 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X L9996 TX Primary

Addresses

Primary practice location

1220 W Presidio St
Fort Worth, TX 76102

Mailing address

PO Box 191846
Dallas, TX 75219-8508
Phone (214) 521-8489

Other practice location 1

3920 Alma Dr
Plano, TX 75023-6748
Phone (972) 422-5939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060831000113 TX Practitioner - Psychiatry 4183628316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Old Hickory TRL
Desoto, TX 75115-2242
Phone (972) 298-7323

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L9996TXMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farida .Yousuf.Ali, M.D., PA. Child & Adolescent Psychiatry CurrentSince Oct 9, 2007 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2006 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2006 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Uhp, LP Past Accepting new patients
Collin County Mental Health Mental Retardation Center Child & Adolescent Psychiatry PastSince Jan 31, 2008 Accepting new patients

Locations

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

2000 Old Hickory Trl
Desoto, TX 75115
Phone (972) 223-2760

1220 W Presidio St
Ft Worth, TX 76102
Phone (817) 333-2767

1515 Heritage Dr
Ste 105
McKinney, TX 75069
Phone (972) 562-0331

3920 Alma Dr
Plano, TX 75023
Phone (972) 422-5939

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1073521019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752198508",
            "telephone_number": "214-521-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W PRESIDIO ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76102",
            "telephone_number": "214-521-8489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3920 Alma Dr",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750236748",
            "country_code": "US",
            "telephone_number": "972-422-5939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "FARIDA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "L9996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.