Active NPI
Teletherapeutics Health Inc.
- Clinical Psychologist
- Portland, OR
National Provider Identifier
1154064590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- TELETHERAPEUTICS HEALTH INC.
- Practice address
- 10350 N Vancouver Way # 1092
Portland, OR 97217-7530 - Phone
- (888) 420-0589
- NPI assigned
- Apr 14, 2022
- Reactivated
- Oct 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yasir J. Ahmad, MD
- Title
- Owner
- Phone
- (732) 485-1301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
10350 N Vancouver Way # 1092
Portland, OR 97217-7530
Mailing address
79 Ogle Rd
Old Tappan, NJ 07675-7026
Phone (888) 420-0589
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Santa Fe, NM
- NPI 1023175973
-
- Clinical Social Worker
- Hollywood, FL
- NPI 1952838872
-
- Clinical Social Worker
- Artesia, CA
- NPI 1508212994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730073600000",
"number": "1154064590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 OGLE RD",
"city": "OLD TAPPAN",
"state": "NJ",
"postal_code": "076757026",
"telephone_number": "888-420-0589",
"fax_number": "302-469-2115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10350 N VANCOUVER WAY # 1092",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972177530",
"telephone_number": "888-420-0589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELETHERAPEUTICS HEALTH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-14",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"deactivation_date": "2022-08-06",
"reactivation_date": "2022-10-04",
"status": "A",
"authorized_official_last_name": "AHMAD",
"authorized_official_first_name": "YASIR",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-485-1301",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Telecare Mental Health Services of Oregon, Inc
- Telecare Mental Health Services of Oregon, Inc
- Telecare Mental Health Services of Oregon, Inc
- Telecare Mental Health Services of Oregon, Inc.
- Robin Michelle Telerant, M.D.
- Barbara Jane Telford, M.D.
- Daniel Telgarsky, CRM
- Robert Abram Tell, LCSW
- Mallik N Tella, MD
- James John Telles Jr., L.M.T
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.