Active NPI
Well America in Inc
- Clinical Psychologist
- Greenwood, IN
National Provider Identifier
1285379818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- WELL AMERICA IN INC
- Practice address
- 1040 Sierra Dr Ste 400
Greenwood, IN 46143-7241 - Phone
- (732) 485-1301
- Fax
- (302) 469-2115
- NPI assigned
- Apr 28, 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
1040 Sierra Dr Ste 400
Greenwood, IN 46143-7241
Mailing address
79 Ogle Rd
Old Tappan, NJ 07675-7026
Phone (732) 485-1301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762128000000",
"number": "1285379818",
"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": "732-485-1301",
"fax_number": "302-469-2115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 SIERRA DR STE 400",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461437241",
"telephone_number": "732-485-1301",
"fax_number": "302-469-2115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELL AMERICA IN INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-28",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"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 Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.