Healthcare Provider Details

I. General information

NPI: 1508526559
Provider Name (Legal Business Name): TELETHERAPEUTICS HEALTH OH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2021
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3215 PLANTERS GRV
SPRINGFIELD OH
45503-6813
US

IV. Provider business mailing address

79 OGLE RD
OLD TAPPAN NJ
07675-7026
US

V. Phone/Fax

Practice location:
  • Phone: 440-462-0590
  • Fax: 848-667-8981
Mailing address:
  • Phone: 732-485-1301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

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