Harun Marvin Ali, PSY.D., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS23229 Issued in CA

Practice address

5271 W Palo Alto Ave
Fresno, CA 93722-3635

Phone

(559) 276-2331

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Marvin Ali Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Fresno Youth Care Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1033875885
  NPD
• Fresno Youth Care Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1124784970
  NPD (past)
• Fresno Youth Care Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1508410341
  NPD (past)
• Panacea Services, Inc.

  • Community/Behavioral Health Agency
  • Sacramento, CA
  • NPI 1164852471
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634342400000",
    "number": "1497864441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 DOS RIOS ST STE A1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958110442",
            "telephone_number": "916-930-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5271 W PALO ALTO AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223635",
            "telephone_number": "559-276-2331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 E Weldon Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937045956",
            "country_code": "US",
            "telephone_number": "559-917-3443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4946 E Yale Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937271571",
            "country_code": "US",
            "telephone_number": "559-721-2106",
            "fax_number": "559-981-2337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4928 E Clinton Way Ste 108",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937271526",
            "country_code": "US",
            "telephone_number": "559-252-6844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Dos Rios St Ste A1",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958110442",
            "country_code": "US",
            "telephone_number": "916-930-0066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "HARUN",
        "middle_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARVIN",
            "last_name": "ALI",
            "prefix": "DR.",
            "credential": "PSY.D., LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ali Rezapour, M.D., Inc.
• Ana Ali
• Ana Ali, PA
• Ayesha Amjad Ali, FNP-C, WHCNP
• Faizah Nabihah Ali
• Shaukat Ali, M.D.
• Sue S Ali
• Joseph Austin Alibo, RAS
• Mahda Alihashemi
• Joseph Alimasuya, M.D.

• All providers in Fresno, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2021; 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.