Organization Active NPI

Therapycentral Inc

  • Psychologist
  • Myrtle Beach, SC
National Provider Identifier
1699429720
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
THERAPYCENTRAL INC
Practice address
5335 N Kings Hwy Ste 1205
Myrtle Beach, SC 29577-2520
Phone
(732) 485-1301
Fax
(302) 469-2115
NPI assigned
Feb 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

5335 N Kings Hwy Ste 1205
Myrtle Beach, SC 29577-2520

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 SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220507000069 SC Part B Supplier - Clinic/Group Practice 8820475189 Receives reassigned benefits from 2 practitioners
Practice locations: Myrtle Beach, SC

National Provider Directory

National Provider Directory

Locations

5335 N Kings Hwy
Ste 1205
Myrtle Beach, SC 29577

5335 N Kings Hwy
#1205
Myrtle Beach, SC 29577
Phone (888) 491-6463

Practitioners & affiliated clinicians

Practitioners 2

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": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1699429720",
    "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": "5335 N KINGS HWY STE 1205",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772520",
            "telephone_number": "732-485-1301",
            "fax_number": "302-469-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPYCENTRAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "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": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

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.

Verify at the official NPI Registry.