Active NPI
Neurosprout ABA MD LLC
- Psychiatric/Mental Health Nurse Practitioner
- Lutherville, MD
National Provider Identifier
1659164358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- NEUROSPROUT ABA MD LLC
- Practice address
- 1301 York Rd Ste 800-1030
Lutherville, MD 21093-6035 - Phone
- (213) 332-8893
- NPI assigned
- May 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yitzchak Seleh
- Title
- Ceo
- Phone
- (213) 333-4433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1301 York Rd Ste 800-1030
Lutherville, MD 21093-6035
Mailing address
8 Kielt Way BSMT
Lakewood, NJ 08701-5097
Phone (410) 357-1180
National Provider Directory
National Provider Directory- Tax ID family
- Neurosprout ABA MD LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Baltimore, MD
- NPI 1083412928
Locations
1301 York Rd
Ste 8001030
Lutherville, MD 21093
Phone (213) 332-8893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757376000000",
"number": "1659164358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 KIELT WAY BSMT",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015097",
"telephone_number": "410-357-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 YORK RD STE 800-1030",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936035",
"telephone_number": "213-332-8893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROSPROUT ABA MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-26",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A",
"authorized_official_last_name": "SELEH",
"authorized_official_first_name": "YITZCHAK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "213-333-4433"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutherville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.