ALI KHADIVI PH.D.
NPI 1861523631
Psychologist - Clinical in Bronx, NY

Q: What is Ali Khadivi's NPI number?

The NPI number for Ali Khadivi is 1861523631. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Q: What is Ali Khadivi's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Ali Khadivi enrolled in Medicare?

No. Ali Khadivi has opted out of Medicare through June 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Ali Khadivi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since March 07, 2007Opted out of Medicare · through Jun 15, 2028

1276 FULTON AVE, 4 SOUTH, BRONX, NY 10456(718) 901-8889(718) 466-6060 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ali Khadivi Ph.d. NPPES

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

ALI KHADIVI PH.D. (NPI 1861523631) is an individual clinical provider in Bronx, New York, licensed in New York (011060-1) and active in the NPI registry since March 2007. He has opted out of Medicare through June 15, 2028.

NPPES Registry Identity

NPI1861523631

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameALI KHADIVICredential: PH.D.

Location Address1276 FULTON AVE, 4 SOUTHBronx, NY 10456-3402

Mailing Address210 W 101st St, Ph-10New York, NY 10025-5059 · (212) 662-4704 · Fax (212) 662-4704

Phone(718) 901-8889

Fax(718) 466-6060

Sole ProprietorNo

Enumeration DateMarch 7, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1861523631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 011060-1

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1276 FULTON AVE, Bronx, NY 10456

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ali Khadivi Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 15, 2024 through June 15, 2028.

Opt-Out Effective DateJune 15, 2024

Opt-Out In Effect ThroughJune 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

MR. ORLANDO BOSCH LCSW

Social Worker (Clinical)

1276 FULTON AVE
BRONX, NY 10456

Bronx County (718) 901-8010

RAJESH MANHARBHAI PATEL M.D

Psychiatry & Neurology (Addiction Psychiatry)

1276 FULTON AVE
BRONX, NY 10456

Bronx County (718) 901-8222

MR. JOHN LEE PA

Physician Assistant (Medical)

1276 FULTON AVE, PSYCHIATRY - MMTP
BRONX, NY 10456

Bronx County (718) 503-7794

MS. MARJORIE LEAH MURAVINA LCSW

Social Worker (Clinical)

1276 FULTON AVE
BRONX, NY 10456

Bronx County (718) 901-8918

DR. VAHID NIKZAD M.D.

Psychiatry & Neurology (Psychiatry)

1276 FULTON AVE
BRONX, NY 10456

Bronx County (718) 901-8653

MAYRA RAMIREZ LCSW

Social Worker

1276 FULTON AVE
BRONX, NY 10456

Bronx County (718) 901-6335

KETKI S SHAH M.D.

Psychiatry & Neurology (Psychiatry)

1276 FULTON AVE
BRONX, NY 10456

Bronx County (718) 901-8445

BRONXCARE HEALTH SYSTEM

Clinic/Center (Mental Health (Including Community Mental Health Center))

1276 FULTON AVE
BRONX, NY 10456

Bronx County (718) 901-8600

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 Khadivi's NPI number?

The NPI number for Ali Khadivi is 1861523631. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Ali Khadivi located?

Ali Khadivi practices at 1276 Fulton Ave 4 South, Bronx, NY 10456. The listed phone number is (718) 901-8889.

What is Ali Khadivi's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ali Khadivi enrolled in Medicare?

No. Ali Khadivi has opted out of Medicare through June 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ali Khadivi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.