ALI ADIL AL-HUMADI PSYD
NPI 1427567684
Psychologist in Green Bay, WI

Active since September 20, 2017PECOS EnrolledAccepts Medicare Assignment
933 WAUBE LN, GREEN BAY, WI 54304(920) 548-9500 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2025, Jul 21, 2022, Sep 20, 2017 (3 updates tracked since 2017).

About Ali Adil Al-humadi Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALI ADIL AL-HUMADI PSYD (NPI 1427567684) is an individual psychologist in Green Bay, Wisconsin, licensed in Wisconsin (5344-57) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and maintains a secondary practice location in Denver.

NPPES Registry Identity

NPI1427567684
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameALI ADIL AL-HUMADICredential: PSYD
Location Address933 WAUBE LNGreen Bay, WI 54304-5521
Mailing Address1162 Brookwood Dr Apt 209Green Bay, WI 54304-4140 · (716) 307-9403
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 20, 2017
Last NPPES UpdateMarch 31, 20253 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1427567684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in WI · 5344-57
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
933 WAUBE LN, Green Bay, WI 54304

Secondary Practice Location 1

Location 12450 S Vine StDenver, CO 80210-5264 · Phone (303) 871-3626

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ali Adil Al-humadi Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254855984
PECOS Enrollment IDI20250403002331
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Ali Al-humadi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1580 COMMANCHE AVE
Green Bay, WI 54313
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
1580 COMMANCHE AVE
Green Bay, WI 54313
  • Reassigned Medicare billing, Wisconsin enrollment
  • 106 clinicians in this Medicare group
Rural Health
575 4TH ST
Kewaunee, WI 54216
  • Reassigned Medicare billing, Wisconsin enrollment
  • 573 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
933 WAUBE LN
GREEN BAY, WI 54304
Nurse Practitioner (Family)
933 WAUBE LN
GREEN BAY, WI 54304
Internal Medicine (Allergy & Immunology)
933 WAUBE LN
GREEN BAY, WI 54304
General Acute Care Hospital
933 WAUBE LN
GREEN BAY, WI 54304
Clinic/Center (Ambulatory Surgical)
933 WAUBE LN
GREEN BAY, WI 54304
Physical Therapist
933 WAUBE LN
GREEN BAY, WI 54304
Allergy & Immunology
933 WAUBE LN
GREEN BAY, WI 54304
Occupational Therapist
933 WAUBE LN
GREEN BAY, WI 54304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ali Al-humadi's NPI number?

The NPI number for Ali Al-humadi is 1427567684. It was assigned to this individual provider in the NPPES registry on September 20, 2017.

Where is Ali Al-humadi located?

Ali Al-humadi practices at 933 Waube Ln, Green Bay, WI 54304. The listed phone number is (920) 548-9500.

What is Ali Al-humadi's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Ali Al-humadi enrolled in Medicare?

Yes. Ali Al-humadi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ali Al-humadi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ali Al-humadi reassigns Medicare benefits to 3 organizations: Bellin Memorial Hospital Inc (Green Bay, WI), Bellin Psychiatric Center Inc (Green Bay, WI) and Oconto Hospital & Medical Center Inc (Kewaunee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ali Al-humadi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ali Al-humadi accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and UnitedHealthcare list Ali Al-humadi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ali Al-humadi affiliated with any hospitals?

According to CMS data, Ali Al-humadi is affiliated with Bellin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ali Al-humadi was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.