Organization Active NPI

Sar Shalom Holdings LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Baltimore, MD
National Provider Identifier
1265306575
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
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

Updated by the provider on Sep 30, 2025

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.