Active NPI
Eyorusalem Sahlom
- Behavior Technician
- Landover, MD
National Provider Identifier
1164938676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 8200 Professional PL Ste 115
Landover, MD 20785-2293 - Phone
- (866) 727-8274
- NPI assigned
- Dec 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
8200 Professional PL Ste 115
Landover, MD 20785-2293
Mailing address
8200 Professional PL Ste 115
Landover, MD 20785-2293
Phone (866) 727-8274
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | salem.sahlom@thesparksgroup.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1164938676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 PROFESSIONAL PL STE 115",
"city": "LANDOVER",
"state": "MD",
"postal_code": "207852293",
"telephone_number": "866-727-8274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 PROFESSIONAL PL STE 115",
"city": "LANDOVER",
"state": "MD",
"postal_code": "207852293",
"telephone_number": "866-727-8274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAHLOM",
"first_name": "EYORUSALEM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-19",
"last_updated": "2022-10-24",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "salem.sahlom@thesparksgroup.org",
"affiliation": "N",
"endpointDescription": "WORK",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8200 Professional Pl Ste 115",
"city": "Landover",
"state": "MD",
"country_code": "US",
"postal_code": "207852293",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Landover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.