DR. KHATIDJA S ALI
NPI 1700123239
Psychologist - Health Service in Memphis, TN

Q: What is Khatidja Ali's NPI number?

The NPI number for Khatidja Ali is 1700123239. It was assigned to this individual provider in the NPPES registry on January 3, 2013.

Q: What is Khatidja Ali's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Q: When was this NPI record last updated?

The NPPES record for Khatidja Ali was last updated on January 3, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 03, 2013PECOS Enrolled

1030 JEFFERSON AVE, MEMPHIS, TN 38104(901) 523-8990 Get Directions Write a Review

NPPES record last updated: January 3, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Khatidja S Ali NPPES

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

DR. KHATIDJA S ALI (NPI 1700123239) is an individual health service provider in Memphis, Tennessee, licensed in Tennessee (P0000003082) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700123239

Entity TypeIndividualFemale

Primary Taxonomy103TH0100X

Provider Legal NameDR. KHATIDJA S ALI

Location Address1030 JEFFERSON AVEMemphis, TN 38104

Mailing Address1030 Jefferson AveMemphis, TN 38104 · (901) 523-8990

Phone(901) 523-8990

Sole ProprietorNo

Enumeration DateJanuary 3, 2013

✔ NPI 1700123239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers

Taxonomy Code103TH0100X

License✔ Licensed in TN · P0000003082

Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

1030 JEFFERSON AVE, Memphis, TN 38104

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Khatidja S Ali is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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