Active NPI
Farah Ali, PSY.D.
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1598964355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.008164
- Practice address
- 1333 W. Belmont Ave
#2087
Chicago, IL 60657 - Phone
- (847) 686-0090
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.008164 | IL | Primary |
Addresses
Primary practice location
1333 W. Belmont Ave
#2087
Chicago, IL 60657
Mailing address
401 E Ontario St
#1510
Chicago, IL 60611-3051
Phone (847) 686-0090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.008164 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1598964355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E ONTARIO ST",
"address_2": "#1510",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113051",
"telephone_number": "847-686-0090",
"fax_number": "847-686-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 W. BELMONT AVE",
"address_2": "#2087",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60657",
"telephone_number": "847-686-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "FARAH",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.008164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.