Ilyas Saloom, PMH-NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024170694 Issued in VA

Practice address

9300 Dewitt Loop
FBCH - Adult Outpatient Behavioral Health
Fort Belvoir, VA 22060-5285

Phone

(571) 231-1270

Fax

(571) 231-6623

NPI assigned

Nov 3, 2010

Last updated

Jul 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Adolescent,Child & Adult Psychiatry

  • Adolescent and Children Mental Health Clinic/Center
  • Raleigh, NC
  • NPI 1457519514
  NPD (past)

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1437450749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 DEWITT LOOP",
            "address_2": "ATAMMC - ADULT OUTPATIENT BEHAVIORAL HEALTH",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "22060",
            "telephone_number": "571-231-1270",
            "fax_number": "571-231-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 DEWITT LOOP",
            "address_2": "FBCH - ADULT OUTPATIENT BEHAVIORAL HEALTH",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605285",
            "telephone_number": "571-231-1270",
            "fax_number": "571-231-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOOM",
        "first_name": "ILYAS",
        "credential": "PMH-NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-03",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024170694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Charles Russell, M.D.
• Cameron Ryan, MD
• Molly Patricia Ryan, LCSW
• Teresa Kim Sakai
• Lindsey Rose Salis, CCC-SLP
• Pallavi Laxmi Samudrala, MD
• Jennie Samuel, OTD, OTR/L
• Rodolfo Gonzales San Juan, RN
• Terrel Sanders, M.D.
• Lisa D. Sandy, FNP

• Psychiatric/Mental Health Nurse Practitioner in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.