Samantha Alyse Shlakman, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101248565 Issued in VA

Practice address

501 Church St NE
Suite 217
Vienna, VA 22180-4734

Phone

(202) 421-7408

NPI assigned

May 28, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1609001072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 CONNECTICUT AVE NW STE 1225",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361718",
            "telephone_number": "202-421-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CHURCH ST NE",
            "address_2": "SUITE 217",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804734",
            "telephone_number": "202-421-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHLAKMAN",
        "first_name": "SAMANTHA",
        "middle_name": "ALYSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD037466",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101248565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Robert Shepler, M.D.
• Sherry Anoushfar D D S P C
• Jessica Shin, LCSW
• Wonsock Shin, M.D.
• Gauri Shirolkar
• Amir H Shoja, MD
• Skylar Shortino
• Ross Jay Shoter, OD
• Man Shu, DDS
• Carole Lynn Shultis, FNP

• Psychiatry Physician in Vienna, VA
• Providers in Vienna, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.