Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TELETHERAPEUTICS HEALTH INCORPORATED
NPI 1336885284
Psychologist - Clinical in Salt Lake City, UT

Q: What is Teletherapeutics Health Incorporated's NPI number?

The NPI number for Teletherapeutics Health Incorporated is 1336885284. It was assigned to this organization in the NPPES registry on May 12, 2022.

Q: What is Teletherapeutics Health Incorporated's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since May 12, 2022

774 E 2100 S, SALT LAKE CITY, UT 84106(888) 420-0589(201) 646-3955 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 14, 2026, May 13, 2025, May 12, 2022 (3 updates tracked since 2022).

On this page

About Teletherapeutics Health Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TELETHERAPEUTICS HEALTH INCORPORATED (NPI 1336885284) is a healthcare organization registered as a clinical in Salt Lake City, Utah and active in the NPI registry since May 2022. The organization lists Yasir J. Ahmad, Owner, as its authorized official.

NPPES Registry Identity

NPI1336885284

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameTELETHERAPEUTICS HEALTH INCORPORATED

Location Address774 E 2100 SSalt Lake City, UT 84106-1863

Mailing Address79 Ogle RdOld Tappan, NJ 07675-7026 · (888) 420-0589 · Fax (201) 646-3955

Phone(888) 420-0589

Fax(201) 646-3955

Organization SubpartNo

Authorized OfficialYasir J. AhmadOwner · (781) 373-8199

Enumeration DateMay 12, 2022

Last NPPES UpdateOctober 14, 20263 updates tracked since enumeration

NPPES CertifiedOctober 14, 2026

✔ NPI 1336885284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

774 E 2100 S, Salt Lake City, UT 84106

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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teletherapeutics Health Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Teletherapeutics Health Incorporated, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Janet Barber, LMSW

Clinical Social Worker

NPI 1023175973

150 WASHINGTON AVE # 210
Santa Fe, NM 87501

(888) 420-0589

✔ PECOS✔ Accepts Medicare474 mi

Kimberly Brooks, LCSW

Clinical Social Worker

NPI 1063927291

247 BRENNING RD
Murphysboro, IL 62966

(618) 203-8008

✔ PECOS✔ Accepts Medicare1,223 mi

Xiao Fu, PMHNP-BC

Nurse Practitioner

NPI 1013704972

11 S 12TH ST
Richmond, VA 23219

(203) 823-6288

✔ PECOS1,851 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teletherapeutics Health Incorporated's NPI number?

The NPI number for Teletherapeutics Health Incorporated is 1336885284. It was assigned to this organization in the NPPES registry on May 12, 2022.

Where is Teletherapeutics Health Incorporated located?

Teletherapeutics Health Incorporated is located at 774 E 2100 S, Salt Lake City, UT 84106. The listed phone number is (888) 420-0589.

What is Teletherapeutics Health Incorporated's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Teletherapeutics Health Incorporated enrolled in Medicare?

Yes. Teletherapeutics Health Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Teletherapeutics Health Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Teletherapeutics Health Incorporated, in Clinical Social Worker and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Teletherapeutics Health Incorporated was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.