Jermaine Ash-Shaheed Ali, MD
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Louisville, KY
NPI 1659544948 · NPPES record last updated Nov 11, 2013
Key facts
- NPI
- 1659544948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- 44386 (KY)
- Practice address
- 2225 W Broadway
Louisville, KY 40211-1003 - Phone
- (502) 589-8910
- Fax
- (502) 772-2084
- NPI assigned
- Apr 8, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seven Counties Services, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 44386 | KY | Yes |
Addresses
Primary practice location
2225 W Broadway
Louisville, KY 40211-1003
Mailing address
2225 W Broadway
Louisville, KY 40211-1003
Phone (502) 589-8910
Other providers in Louisville, KY
- Kyle Alhart
- Alhassan Homes and Services Limited Liability Company
- Aisha Ali
- Fayha Ali
- Hasaan Ali
- Raza Ali
- Umair Ali
- Maher Alia
- Align Counseling and Consulting LLC
- Align Total Wellness
All providers in Louisville, KY · Child & Adolescent Psychiatry Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.