Healthcare Provider Details

I. General information

NPI: 1487396321
Provider Name (Legal Business Name): WELL-AMERICA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 4TH ST SW
WASHINGTON DC
20024-4434
US

IV. Provider business mailing address

79 OGLE RD
OLD TAPPAN NJ
07675-7026
US

V. Phone/Fax

Practice location:
  • Phone: 888-419-9355
  • Fax: 201-646-3955
Mailing address:
  • Phone: 732-485-1301
  • Fax: 201-646-3955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: YASIR J. AHMED
Title or Position: OWNER
Credential: MD
Phone: 781-373-8199