Healthcare Provider Details

I. General information

NPI: 1780326629
Provider Name (Legal Business Name): TELETHERAPEUTICS HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 WASHINGTON AVE # 210
SANTA FE NM
87501-2073
US

IV. Provider business mailing address

79 OGLE RD
OLD TAPPAN NJ
07675-7026
US

V. Phone/Fax

Practice location:
  • Phone: 888-420-0589
  • Fax: 201-646-3955
Mailing address:
  • Phone: 732-485-1301
  • Fax: 302-469-2115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

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