Organization Active NPI

Samirabetulallc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lutherville, MD
National Provider Identifier
1194303727
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SAMIRABETULALLC
Practice address
2324 W. Joppa Rpad
Suite 130
Lutherville, MD 21093-2109
Phone
(410) 350-4966
NPI assigned
Apr 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Authorized official

Name
Ariel L Sklar, LCSW-C
Title
Therapist
Phone
(410) 350-4966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2324 W. Joppa Rpad
Suite 130
Lutherville, MD 21093-2109

Mailing address

3011 Iona Ter
Baltimore, MD 21214-3413
Phone (410) 350-4966

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1194303727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 IONA TER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212143413",
            "telephone_number": "410-350-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 W. JOPPA RPAD",
            "address_2": "SUITE 130",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210932109",
            "telephone_number": "410-350-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMIRABETULALLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "SKLAR",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "410-350-4966",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.