Active NPI
Omar Ali
- Behavior Analyst
- Savage, MN
National Provider Identifier
1821847401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 5505 W 123Rd St # 2000
Savage, MN 55378-5505 - Phone
- (612) 799-5648
- Fax
- (612) 429-7331
- NPI assigned
- May 15, 2024
- Last updated
- May 15, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
5505 W 123Rd St # 2000
Savage, MN 55378-5505
Mailing address
5123 W 98TH St # 1355
Minneapolis, MN 55437-2040
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Majestic Housing Solutions MHS LLC | Current | Accepting new patients | |
| Child & Adult Services Cas LLC | Current | 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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Savage, MN
- NPI 1760258487
-
- Case Management Agency
- Minneapolis, MN
- NPI 1083354872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
- Aegis Group Practice LLC
- Alissa Rae Ahmann, PT
- Alberta Winifred Desouza (Earthen Vessel Solutions)
- James Truman Alexander, D.C.
- Fartun Ali
- All About You Recovery Counseling Services LLC
- All Elite Transport LLC
- Robyn Alliah, ATR-BC
- Allina Health System (Allina Health Urgent Care Savage)
- Allina Health System (Allina Health Savage Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.