SHAD SYED ALI (NPI# 1184043010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184043010 |
| Entity Type | Individual |
| Full Name | SHAD SYED ALI |
| Credential | MD |
| Practice Address |
2511 M Ave Ste G Anacortes WA 98221-3897 |
| Mailing Address |
300 Longwood Ave Boston MA 02115-5724 |
| Practice Telephone | 3602994297 |
| Practice Fax Number | 3602994294 |
| Mailing Telephone | 6173556000 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD61070547 | WA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
280916 | MA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
DR.0058735 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Longwood Ave, Boston, MA 021155724 | 6173556000 |
| Street Address |
2511 M AVE STE G |
| City | ANACORTES |
| State | WA |
| Zip Code | 98221-3897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001487 | Cynthia Gene Stevenson | Social Worker | 2511 M Ave Ste G, Anacortes, WA 98221-3897 | 2020-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760035703 | Amber Upchurch | Behavioral Analyst | 2405 28thst, Anacortes, WA 98221 | 2019-07-18 |
| 1508329475 | Sean Elby Kasperbauer-mccool | Massage Therapist | 1010 6th St., Suite A, Anacortes, WA 98221 | 2019-04-09 |
| 1558843524 | Caitlyn Kimble Crowder | Physical Therapist | 1610 Commercial Ave Ste 1-a, Anacortes, WA 98221 | 2018-09-05 |
| 1740731819 | Stanojka Norma Stuart | Speech-Language Pathologist | 6837 Deer Lane, Anacortes, WA 98221 | 2016-10-24 |
| 1447638853 | Island Behavioral Medicine, Ps | Counselor | 3208 K Ave, Anacortes, WA 98221 | 2015-05-18 |
| 1972903615 | Clarence Hugh Jonson | Specialist | 6818 Gibralter Place, Anacortes, WA 98221 | 2014-08-29 |
| 1073939062 | Puget Sound Kidney Centers | Clinic/Center | 809 31st St, Anacortes, WA 98221 | 2014-03-14 |
| 1104161066 | Nancy J. Schafer | Speech-Language Pathologist | 2200 M Avenue, Anacortes, WA 98221 | 2012-12-04 |
| 1063766053 | Ingrid K. Larson Thieman | Pharmacist | 9080 S March Pt Road B4, Anacortes, WA 98221 | 2012-10-30 |
| 1265793723 | Elga Kinnear | Psychologist | 1019 21st Street, Anacortes, WA 98221 | 2012-05-31 |
| Find all providers in zip 98221 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386771160 | David Connolly Hall IIi | Psychiatry & Neurology | 2511 M Ave, Suite G, Anacortes, WA 98221-3897 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225674963 | Multicare Health System | Psychiatry & Neurology | 4700 Point Fosdick Dr Ste 319, Gig Harbor, WA 98335-1731 | 2019-11-18 |
| 1235792326 | Wellpsyche Seattle PC | Psychiatry & Neurology | 801 2nd Ave Ste 800, Seattle, WA 98104-1573 | 2019-04-15 |
| 1043624240 | Lucas Mcintyre | Psychiatry & Neurology | 316 S I St Fl 1, Tacoma, WA 98405-4212 | 2014-06-16 |
| 1710223896 | Jack Raskin | Psychiatry & Neurology | 2624 161st Ave Se, Bellevue, WA 98008-5424 | 2012-12-18 |
| 1801140876 | Deborah L. Hickey, D.o.ps | Psychiatry & Neurology | 6512-20th St Ct W #c, Firerest, WA 98466-6212 | 2012-10-30 |
| 1073884102 | Larry W. Einspahr, M.d., P.s. | Psychiatry & Neurology | 5400 Carillon Pt Bldg 5000, 4th Floor, Kirkland, WA 98033-7357 | 2012-01-20 |
| 1982922233 | Brian N Gipstein | Psychiatry & Neurology | 4407 S Madelia St, Spokane, WA 99223-6429 | 2010-05-12 |
| 1063667087 | Robert S Fleming II | Psychiatry & Neurology | 16921 14th Ave Nw, Shoreline, WA 98177-3840 | 2008-11-18 |
| 1306000898 | Amy Lazar | Psychiatry & Neurology | 11820 Northup Way Ste E200, Bellevue, WA 98005-1966 | 2008-07-14 |
| 1427278100 | Melanie Jeanne Brace | Psychiatry & Neurology | 3206 50th Street Ct Nw Ste A101, Gig Harbor, WA 98335-8568 | 2007-04-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.