Active NPI
Ruhina N Ali, M.D.
- Psychiatry Physician
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036.167330
- Practice address
- 55 S Main St Ste 252
Naperville, IL 60540-5372 - Phone
- (630) 428-7890
- NPI assigned
- Jun 12, 2013
- Last updated
- Oct 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101267941 | VA | |
| Psychiatry Physician | 2084P0800X | 036.167330 | IL | Primary |
Addresses
Primary practice location
55 S Main St Ste 252
Naperville, IL 60540-5372
Mailing address
55 S Main St Ste 252
Naperville, IL 60540-5372
Phone (630) 428-7890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.167330 | IL | MD | Psychiatry Physician |
| 0101267941 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Multi-Specialty | Current | Accepting new patients |
| Psychology Specialists LTD | Multi-Specialty | Past | Accepting new patients |
| Edgewood Clinical Services, P.C. | Past | Accepting new patients |
Locations
808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007
2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165
3027 English Rows Ave
Ste 201
Naperville, IL 60564
55 S Main St
Ste 252
Naperville, IL 60540
Phone (630) 328-0949
Organizations & group practices 3
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.
-
dba LifeStance
- Psychologist
- Naperville, IL
- NPI 1295914646
Multi-Specialty
-
dba LifeStance
- Community/Behavioral Health Agency
- Naperville, IL
- NPI 1366784837
-
dba LifeStance Health
- Clinical Psychologist
- Bloomington, IL
- NPI 1053368605
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1528406493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 S MAIN ST STE 252",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605405372",
"telephone_number": "630-428-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 S MAIN ST STE 252",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605405372",
"telephone_number": "630-428-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "RUHINA",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-12",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101267941",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036.167330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.