MEDICARE: THERAPY CENTRAL INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1710638077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPY CENTRAL INC.

Provider Business Mailing Address
First Line	:	79 OGLE RD
Second Line	:
City	:	OLD TAPPAN
State	:	NJ
Zip	:	07675-7026
Country	:	US
Telephone Number	:	302-526-4547
Fax Number	:	848-667-8981

Provider Business Practice Location Address
First Line	:	1954 AIRPORT RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-4956
Country	:	US
Telephone Number	:	302-526-4547
Fax Number	:	848-667-8981

Authorized Official
Title or Position	:	OWNER
Name	:	DR. YASIR J. AHMAD
Credential	:	MD
Telephone Number	:	781-373-8199

Provider Enumeration Date	:	01/18/2022
Last Update Date	:	05/13/2025

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