| Well America Corporation | |
|
725 Decker Prairie Dr Austin TX 78748-2389 | |
| (302) 526-4547 | |
| (302) 469-2115 |
| Full Name | Well America Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 725 Decker Prairie Dr, Austin, Texas |
| Authorized Official Name and Position | Yasir J. Ahmad (OWNER) |
| Authorized Official Contact | 7324851301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Well America Corporation 79 Ogle Rd Old Tappan NJ 07675-7026 Ph: (732) 485-1301 | Well America Corporation 725 Decker Prairie Dr Austin TX 78748-2389 Ph: (302) 526-4547 |
| NPI Number | 1659034361 |
|---|---|
| Provider Enumeration Date | 10/19/2021 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Medicare PECOS PAC ID | 2163819103 |
|---|---|
| Medicare Enrollment ID | O20220421002720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659034361 | NPI | - | NPPES |
| PENDING | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan Vrtis-younger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558468355 PECOS PAC ID: 3173696051 Enrollment ID: I20100802000941 |
| Provider Name | Shannon White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841810173 PECOS PAC ID: 3072900018 Enrollment ID: I20220421002751 |
| Provider Name | Kimberly Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063927291 PECOS PAC ID: 2961760764 Enrollment ID: I20240828002930 |
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