Active NPI
Sar Shalom Holdings LLC
- Adolescent and Children Mental Health Clinic/Center
- Baltimore, MD
National Provider Identifier
1265306575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- SAR SHALOM HOLDINGS LLC
- Doing business as
- Charm City Autism
- Practice address
- 6300 Park Heights Avenue
Baltimore, MD 21215 - Phone
- (443) 803-5582
- NPI assigned
- Sep 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chana Poupko, BCBA
- Title
- Behavioral Analyst
- Phone
- (443) 803-5582
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
6300 Park Heights Avenue
Baltimore, MD 21215
Mailing address
3601 Greenway Ste 110
Baltimore, MD 21218-2438
Other practice location 1
3601 Greenway
Unit 110
Baltimore, MD 21218-2438
Phone (443) 803-5582
Other names 1
- Charm City Autism
National Provider Directory
National Provider DirectoryLocations
3601 Greenway
Ste 110
Baltimore, MD 21218
Phone (443) 803-5582
6300 Park Heights Ave
Baltimore, MD 21215
Phone (442) 524-3200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759190400000",
"number": "1265306575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 GREENWAY STE 110",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212182438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 PARK HEIGHTS AVENUE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21215",
"telephone_number": "443-803-5582"
}
],
"practiceLocations": [
{
"address_1": "3601 Greenway",
"address_2": "Unit 110",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212182438",
"country_code": "US",
"telephone_number": "443-803-5582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SAR SHALOM HOLDINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-30",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A",
"authorized_official_last_name": "POUPKO",
"authorized_official_first_name": "CHANA",
"authorized_official_title_or_position": "BEHAVIORAL ANALYST",
"authorized_official_telephone_number": "443-803-5582",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Charm City Autism",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.