Active NPI
Samah Ikram, MA, LCAT, RDT
- Drama Therapist
- West Chicago, IL
National Provider Identifier
1225838360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Drama Therapist
- License
- 002588
- Practice address
- 1195 Marcella LN
West Chicago, IL 60185-5061 - Phone
- (510) 499-4205
- NPI assigned
- Mar 17, 2025
- 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 |
|---|---|---|---|---|
| Drama Therapist | 101200000X | 002588 | NY | Primary |
Addresses
Primary practice location
1195 Marcella LN
West Chicago, IL 60185-5061
Mailing address
787 Robert Ave
Madera, CA 93636-6543
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1225838360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "787 ROBERT AVE",
"city": "MADERA",
"state": "CA",
"postal_code": "936366543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1195 MARCELLA LN",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601855061",
"telephone_number": "510-499-4205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKRAM",
"first_name": "SAMAH",
"credential": "MA, LCAT, RDT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-17",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101200000X",
"taxonomy_group": "",
"desc": "Drama Therapist",
"state": "NY",
"license": "002588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.