Omar Ali – Behavior Analyst in Savage, MN

Key facts

NPI: 1821847401
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Analyst 103K00000X
Practice address: 5505 W 123Rd St # 2000
Savage, MN 55378-5505
Phone: (612) 799-5648
Fax: (612) 429-7331
NPI assigned: May 15, 2024
Sex: Male
Sole proprietor: No

Organizations & group practices 2

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.

Child & Adult Services Cas LLC Clinic/Center · Savage, MN · NPI 1760258487

NPD Authorized official
Majestic Housing Solutions MHS LLC Case Management Agency · Minneapolis, MN · NPI 1083354872

NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Majestic Housing Solutions MHS LLC		Current	Accepting new patients
Child & Adult Services Cas LLC		Current since May 19, 2024	Accepting new patients

Locations

5123 W 98th St
Minneapolis, MN 55437
Phone (312) 961-4490

5505 W 123rd St
#2000
Savage, MN 55378
Phone (612) 799-5648

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Analyst	103K00000X			Yes

Addresses

Primary practice location

5505 W 123Rd St # 2000
Savage, MN 55378-5505

Mailing address

5123 W 98TH St # 1355
Minneapolis, MN 55437-2040

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 15, 2024.

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1821847401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5123 W 98TH ST # 1355",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554372040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 W 123RD ST # 2000",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553785505",
            "telephone_number": "612-799-5648",
            "fax_number": "612-429-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "OMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

All providers in Savage, MN · Behavior Analyst in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. 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.

Verify at the official NPI Registry.