Organization Active NPI

Channel Behavioral Care LLC

  • Clinical Child & Adolescent Psychologist
  • Rockville, MD
National Provider Identifier
1497598429
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
CHANNEL BEHAVIORAL CARE LLC
Doing business as
Channel ABA
Practice address
50 W Edmonston Dr Ste 402
Rockville, MD 20852-1245
Phone
(646) 238-4930
NPI assigned
Jun 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Mr. Simcha Silberman
Title
Director
Phone
(646) 238-4930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X Primary

Addresses

Primary practice location

50 W Edmonston Dr Ste 402
Rockville, MD 20852-1245

Mailing address

7202 Fort Hamilton Pkwy
Brooklyn, NY 11228-1906
Phone (646) 238-4930

Other names 1

  • Channel ABA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Channel ABA2 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.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1497598429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281906",
            "telephone_number": "646-238-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W EDMONSTON DR STE 402",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521245",
            "telephone_number": "646-238-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANNEL BEHAVIORAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "SILBERMAN",
        "authorized_official_first_name": "SIMCHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "646-238-4930",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Channel ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.