Individual provider · Type 1 NPI

Ali Khadivi, PhD

Clinical Psychologist · Bronx, NY

NPI number 1861523631 Active

Practice location

1276 Fulton Ave, 4 South
Bronx, NY 10456-3402

Fax (718) 466-6060

Mailing address

210 W 101st St, PH-10
New York, NY 10025-5059

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X011060-1 (NY)

Clinical Psychologist: 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 discip…

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About NPI 1861523631

Ali Khadivi, PhD's National Provider Identifier is 1861523631, issued on Mar 7, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Bronx, NY. The record was last updated on Jul 8, 2007.