| Well-america Corp | |
|
1 Blue Hill Plz Ste 57 Pearl River NY 10965-3100 | |
| (201) 248-0777 | |
| (888) 462-7765 |
| Full Name | Well-america Corp |
|---|---|
| Speciality | Psychologist |
| Location | 1 Blue Hill Plz Ste 57, Pearl River, New York |
| Authorized Official Name and Position | Yasir J. Ahmad (OWNER) |
| Authorized Official Contact | 2012480777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Well-america Corp 79 Ogle Rd Old Tappan NJ 07675-7026 Ph: (201) 248-0777 | Well-america Corp 1 Blue Hill Plz Ste 57 Pearl River NY 10965-3100 Ph: (201) 248-0777 |
| NPI Number | 1750035879 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 06/22/2023 |
| Certification Date | 06/22/2023 |
| Medicare PECOS PAC ID | 1153708425 |
|---|---|
| Medicare Enrollment ID | O20220509000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750035879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Naheed Akhtar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932389806 PECOS PAC ID: 0648457820 Enrollment ID: I20110616000179 |
| Provider Name | Intisar Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912335191 PECOS PAC ID: 3072890086 Enrollment ID: I20170501000191 |
| Provider Name | Christopher Mccarthy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821467028 PECOS PAC ID: 2163850512 Enrollment ID: I20200317002293 |
| Provider Name | Janet Barber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023175973 PECOS PAC ID: 1557743788 Enrollment ID: I20220803003460 |
| Provider Name | Valsamma P Joy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871815241 PECOS PAC ID: 4789816810 Enrollment ID: I20221117001477 |
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