Active NPI
Teletherapeutics Health Incorporated
- Clinical Psychologist
- Salt Lake City, UT
National Provider Identifier
1336885284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- TELETHERAPEUTICS HEALTH INCORPORATED
- Practice address
- 774 E 2100 S
Salt Lake City, UT 84106-1863 - Phone
- (888) 420-0589
- Fax
- (201) 646-3955
- NPI assigned
- May 12, 2022
- Last updated
- Oct 14, 2026
- 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
- (781) 373-8199
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
774 E 2100 S
Salt Lake City, UT 84106-1863
Mailing address
79 Ogle Rd
Old Tappan, NJ 07675-7026
Phone (888) 420-0589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Richmond, VA
- NPI 1013704972
Single Specialty, UT
-
- Psychiatry Physician
- Paramus, NJ
- NPI 1275570509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791936000000",
"number": "1336885284",
"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": "201-646-3955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "774 E 2100 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841061863",
"telephone_number": "888-420-0589",
"fax_number": "201-646-3955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELETHERAPEUTICS HEALTH INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-12",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"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": "781-373-8199",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.