Active NPI
Therapycentral Inc
- Psychologist
- Myrtle Beach, SC
National Provider Identifier
1699429720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- 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
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 |
|---|---|---|---|---|
| Psychologist | 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
National Provider Directory
National Provider DirectoryLocations
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.