GOULED MOHAMED ALI NPI 1154297497

NPI Information

  • NPI: 1154297497
  • Provider Name: GOULED MOHAMED ALI
  • Classification: Psychologist - 103TM1800X
  • Specialization: Intellectual and Developmental Disabilities
  • Entity Type: Individual
  • Address: 1406 ROCKBRIDGE RD
    STONE MOUNTAIN, GA
    ZIP 30087
  • Phone: (206) 765-7430

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NPI Details

Gouled Mohamed Ali is an intellectual and developmental disabilities in Stone Mountain, GA. Gouled Mohamed Ali NPI is 1154297497. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1406 ROCKBRIDGE RD
STONE MOUNTAIN, GA
ZIP 30087-142
Phone: (206) 765-7430

The enumeration date for this NPI number is 10/14/2025 and was last updated on 10/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TM1800XPsychologistIntellectual and Developmental Disabilities251E00000XGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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