| Teletherapeutics Health Ca Corp | |
|
18520 1/2 Pioneer Blvd Artesia CA 90701-5597 | |
| (888) 420-0589 | |
| (848) 667-8981 |
| Full Name | Teletherapeutics Health Ca Corp |
|---|---|
| Speciality | Psychologist |
| Location | 18520 1/2 Pioneer Blvd, Artesia, California |
| Authorized Official Name and Position | Yasir J Ahmad (OWNER) |
| Authorized Official Contact | 8884200589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teletherapeutics Health Ca Corp 79 Ogle Rd Old Tappan NJ 07675-7026 Ph: (888) 420-0589 | Teletherapeutics Health Ca Corp 18520 1/2 Pioneer Blvd Artesia CA 90701-5597 Ph: (888) 420-0589 |
| NPI Number | 1730848383 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 12/07/2022 |
| Certification Date | 12/07/2022 |
| Medicare PECOS PAC ID | 4082009675 |
|---|---|
| Medicare Enrollment ID | O20220317002577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730848383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
| Provider Name | Omar Farooqi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336311315 PECOS PAC ID: 2961696083 Enrollment ID: I20101103000302 |
| Provider Name | Dhaval H Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053663096 PECOS PAC ID: 7416244553 Enrollment ID: I20160917000251 |
| Provider Name | Asim A Rizvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043521487 PECOS PAC ID: 9032469978 Enrollment ID: I20191108000415 |
| Provider Name | Sophia Morelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508212994 PECOS PAC ID: 7113341777 Enrollment ID: I20200716000586 |
| Provider Name | Demetric Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629190848 PECOS PAC ID: 9638270226 Enrollment ID: I20220311001827 |
| Provider Name | Leah Haddad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033706890 PECOS PAC ID: 6901293539 Enrollment ID: I20220428001188 |
| Provider Name | Kimberly Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063927291 PECOS PAC ID: 2961760764 Enrollment ID: I20220624001177 |
| Provider Name | Deborah Lee Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730206087 PECOS PAC ID: 5496139610 Enrollment ID: I20220907000702 |
| Provider Name | Noah Kojo Peter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043927684 PECOS PAC ID: 7911378476 Enrollment ID: I20230119001634 |
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