Khamaal Alim, OCPRS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

0002312 Issued in OH

Practice address

25201 Chagrin Blvd Ste 390
Beachwood, OH 44122-5637

Phone

(216) 910-9015

Fax

(216) 910-9015

NPI assigned

May 10, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1902480486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27451 TREMAINE DR APT 115-07",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323450",
            "telephone_number": "216-954-0680",
            "fax_number": "216-910-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25201 CHAGRIN BLVD STE 390",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225637",
            "telephone_number": "216-910-9015",
            "fax_number": "216-910-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIM",
        "first_name": "KHAMAAL",
        "credential": "OCPRS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "0002312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Euclid",
            "affiliation": "N",
            "endpointDescription": "www.peopleplacesanddreams.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25201 Chagrin Blvd Ste 390",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441225637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nawal Alhawsawi
• Elrayah Saifeldin Mohamed Ali
• Aligned Health Center Beachwood, LLC
• Aligned Mind Psychiatry, LLC
• Khalil Jamaal Alim
• Nafisah Alim, LCDC III
• Ayat Aljadooa
• Ahmad Alkhatib
• Nouwar Alkhatib
• Charleen Mae Allar, RNC-BSN

• All providers in Beachwood, OH
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.