Active NPIIndividual provider

Tabassum A Ali, APRN

Nurse Practitioner, Psych/Mental Health in Waterbury, Connecticut

NPI Number1578819884
Practice location
141 E Main St, Waterbury Clinicial Services 2ND Floor, Waterbury, CT 06702
Fax
203-596-0722
Last updated
March 7, 2023

Tabassum A Ali is a Nurse Practitioner, Psych/Mental Health based in Waterbury, CT. Tabassum A Ali practices in Waterbury, CT and has the professional credentials of APRN. The NPI Number for Tabassum A Ali is 1578819884 and holds a License No. 98808 (CT). The current practice location address for Tabassum A Ali is 141 E Main St, Waterbury Clinicial Services 2ND Floor, Waterbury, CT 06702 and can be reached out via phone at 855-935-5667 and via fax at 203-596-0722.

Provider Profile Details

NPI Number
1578819884
Provider Name
Tabassum A Ali
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
141 E Main St, Waterbury Clinicial Services 2ND Floor, Waterbury, CT 06702
Phone Number
855-935-5667
Fax Number
203-596-0722
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
July 24, 2012
Last Update Date
March 7, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
141 E Main St
Waterbury Clinicial Services 2ND Floor
Waterbury, CT 06702
Zip
06702
Phone Number
855-935-5667
Fax Number
203-596-0722
Waterbury, CT 06702Get directions →

Provider Business Mailing Address Details

Address
141 E Main St
4TH Floor Administation
Waterbury, CT 06702-2310
City
Waterbury
State
CT
Zip
06702-2310
Phone Number
203-574-9000
Fax Number
203-574-9006

License Information

License Number (1)
98808
License State (1)
CT
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
ANCC2012007952
License State (2)
CT
License Number (3)
005035
License State (3)
CT
Taxonomy (3)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tabassum A Ali, APRN?

The NPI number of Tabassum A Ali, APRN is 1578819884. It was assigned on July 24, 2012 and is currently active in the NPPES registry.

What is the specialty of Tabassum A Ali, APRN?

Tabassum A Ali, APRN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 98808.

Where does Tabassum A Ali, APRN practice?

The practice location is 141 E Main St, Waterbury Clinicial Services 2ND Floor, Waterbury, CT 06702. The office can be reached at 855-935-5667 (phone) or 203-596-0722 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578819884 directly on the NPPES registry website.

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