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NPI Code Detail

MEDICARE: DR. JAMIL M ALI PSY.D.

MEDICARE: DR. JAMIL M ALI PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPY0366NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750426474
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMIL M ALI PSY.D.
Provider Business Mailing Address
First Line : 8379 W SUNSET RD STE 140
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2248
Country : US
Telephone Number : 702-212-3008
Fax Number : 702-933-3064
Provider Business Practice Location Address
First Line : 8379 W SUNSET RD STE 140
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2248
Country : US
Telephone Number : 702-212-3008
Fax Number : 702-933-3064
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2007
Last Update Date : 08/14/2025

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