Individual provider Active NPI

Eva Kathleen Sarem, M.S., CCC-SLP

  • Behavior Analyst
  • Bertram, TX
National Provider Identifier
1093206203
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
361917 Issued in TX
Practice address
332 Main St
Bertram, TX 78605-4414
Phone
(210) 982-2802
NPI assigned
May 23, 2018
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 112607 TX
Behavior Analyst 103K00000X 361917 TX Primary

Addresses

Primary practice location

332 Main St
Bertram, TX 78605-4414

Mailing address

332 Main St
Bertram, TX 78605-4414
Phone (210) 260-9043

Other identifiers 1

IdentifierTypeStateIssuer
74-2925203OtherTRICARE

Other names 1

  • Ms. Eva Kathleen Sarem Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015005110 TX Practitioner - Qualified Speech Language Pathologist 5698262384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

332 Main St
Bertram, TX 78605-4414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
361917TXMDBehavioral Analyst
112607TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dinomite Kids Pediatric Therapy Services PLLC Behavior Analyst CurrentSince Sep 1, 2025 Accepting new patients

Locations

1800 Mormon Mill Rd
Ste A2
Marble Falls, TX 78654
Phone (210) 982-2802

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1093206203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 MAIN ST",
            "city": "BERTRAM",
            "state": "TX",
            "postal_code": "786054414",
            "telephone_number": "210-260-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 MAIN ST",
            "city": "BERTRAM",
            "state": "TX",
            "postal_code": "786054414",
            "telephone_number": "210-982-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAREM",
        "first_name": "EVA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112607",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "361917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "74-2925203",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVA",
            "last_name": "SAREM",
            "middle_name": "KATHLEEN",
            "prefix": "MS.",
            "credential": "SLP-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bertram, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.