Shalom Behavioral Health Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

SHALOM BEHAVIORAL HEALTH INC

Practice address

5210 Indian Head Hwy # 2RF
Oxon Hill, MD 20745-2048

Phone

(202) 560-3558

NPI assigned

Sep 6, 2023

Organization subpart

No

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

Authorized official

Name

Mike Bioulma

Title

Ceo

Phone

(202) 560-3558

Specialties & licenses 1

Addresses

Tax ID family

Shalom Behavioral Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shalom Behavioral Health Inc

  • Clinic/Center
  • Oxon Hill, MD
  • NPI 1669258042
  NPD tax ID

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1275319162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 INDIAN HEAD HWY # 2RF",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207452048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 INDIAN HEAD HWY # 2RF",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207452048",
            "telephone_number": "202-560-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "BIOULMA",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-560-3558"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Chen Scully, FNP-C
• Senior Network, Inc.
• Serenity Assisted Senior Living
• Ghazala Shaneen Shah
• Sandra Boyd Shaheed, APRN
• Shalom Behavioral Health Inc
• Shantha K. Murthy,M.D.,P.C.
• Sudha Sikri, MD
• Andre Legenn Silvers
• Skin Luxe

• Rehabilitation Clinic/Center in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• Rehabilitation Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.