Ali, Tabassum A

Ali, Tabassum A is an individual health care provider with primary practice located at 141 E Main St Waterbury Clinicial Services 2Nd Floor, Waterbury CT 06702. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ali, Tabassum A can be contacted via phone (855) 935-5667.

Contact Information

Primary practice address
141 E Main St Waterbury Clinicial Services 2Nd Floor Waterbury CT 06702
Phone: (855) 935-5667
Fax: (203) 596-0722
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 98808 Connecticut
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X ANCC2012007952 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 005035 Connecticut

Profile Details

NPI number 1578819884
LBN Legal business name Ali, Tabassum A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2012
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578819884 NPPES
Connecticut Other 060669107 UBH-UNITED BEHAVIORAL HEALTH NETWORK WELLMORE GRP/FACILITY
Connecticut Other 12671467 UBH-UNITED BEHAVIORAL HEALTH NETWORK WELLMORE GRP/FACILITY
Connecticut Other 507335 UBH-UNITED BEHAVIORAL HEALTH NETWORK WELLMORE GRP/FACILITY
Connecticut Other CSP.0053391 UBH-UNITED BEHAVIORAL HEALTH NETWORK WELLMORE GRP/FACILITY
Connecticut Other 4853955 UBH-UNITED BEHAVIORAL HEALTH NETWORK WELLMORE GRP/FACILITY
Connecticut Other 9777891 UBH-UNITED BEHAVIORAL HEALTH NETWORK WELLMORE GRP/FACILITY
Connecticut Other 060669107 UBH-UNITED BEHAVIORAL HEALTH NETWORK WELLMORE GRP/FACILITY
Connecticut Other 060669107 UBH-UNITED BEHAVIORAL HEALTH NETWORK WELLMORE GRP/FACILITY
Connecticut Other 507335 UBH-UNITED BEHAVIORAL HEALTH NETWORK WELLMORE GRP/FACILITY
Connecticut Other 060669107 UBH-UNITED BEHAVIORAL HEALTH NETWORK WELLMORE GRP/FACILITY
Connecticut MEDICAID 008042033 UBH-UNITED BEHAVIORAL HEALTH NETWORK WELLMORE GRP/FACILITY
Connecticut Other D339209 WATERBURY UBH-UNITED BEHAVIORAL HEALTH NETWORK WELLMORE GRP/FACILITY
Connecticut Other 060669107 UBH-UNITED BEHAVIORAL HEALTH NETWORK WELLMORE GRP/FACILITY
Connecticut Other CSP.0053391 UBH-UNITED BEHAVIORAL HEALTH NETWORK WELLMORE GRP/FACILITY

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