Active NPI
Christopher Thomas Kelm Jr.
- Behavior Technician
- Oakland, MD
National Provider Identifier
1588300024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-213190
- Practice address
- 5000 Thayer Ctr Ste C
Oakland, MD 21550-1139 - Phone
- (904) 217-9531
- NPI assigned
- May 9, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-213190 | VA | Primary |
Addresses
Primary practice location
5000 Thayer Ctr Ste C
Oakland, MD 21550-1139
Mailing address
760 Princeton PL NW
Washington, DC 20010-1607
Phone (215) 317-6608
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-213190 | VA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1588300024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 PRINCETON PL NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200101607",
"telephone_number": "215-317-6608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 THAYER CTR STE C",
"city": "OAKLAND",
"state": "MD",
"postal_code": "215501139",
"telephone_number": "904-217-9531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELM",
"first_name": "CHRISTOPHER",
"middle_name": "THOMAS",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-09",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "RBT-22-213190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.