Individual provider Active NPI

Nadia Ali, PHD

  • Psychologist
  • Decatur, GA
National Provider Identifier
1891854725
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY002548 Issued in GA
Practice address
2165 N Decatur Rd
Emory Dept of Human Genetics
Decatur, GA 30033-5307
Phone
(404) 778-8613
Fax
(404) 778-8562
NPI assigned
Dec 6, 2006
Last updated
Apr 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY002548 GA Primary

Addresses

Primary practice location

2165 N Decatur Rd
Emory Dept of Human Genetics
Decatur, GA 30033-5307

Mailing address

2165 N Decatur Rd
Decatur, GA 30033-5307
Phone (404) 778-8613

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY002548GAMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1891854725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335307",
            "telephone_number": "404-778-8613",
            "fax_number": "404-778-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 N DECATUR RD",
            "address_2": "EMORY DEPT OF HUMAN GENETICS",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335307",
            "telephone_number": "404-778-8613",
            "fax_number": "404-778-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "NADIA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY002548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.