Individual provider Active NPI

Philomene Sama

  • Community/Behavioral Health Agency
  • Washington, DC
National Provider Identifier
1396449716
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Practice address
3417 18TH St NE
Washington, DC 20018-2721
Phone
(202) 629-2917
Fax
(202) 629-2797
NPI assigned
Mar 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Behavior Technician 106S00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3417 18TH St NE
Washington, DC 20018-2721

Mailing address

109 Waldon Rd
Abingdon, MD 21009-2164
Phone (701) 730-7098

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley & Associates, LLC CurrentSince Apr 6, 2023 Accepting new patients
Bradley & Associates, LLC Community/Behavioral Health CurrentSince Apr 6, 2023 Accepting new patients

Locations

3417 18th St NE
Washington, DC 20018
Phone (202) 629-2917

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1396449716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WALDON RD",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092164",
            "telephone_number": "701-730-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 18TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182721",
            "telephone_number": "202-629-2917",
            "fax_number": "202-629-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMA",
        "first_name": "PHILOMENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.