Active NPI
Shalom Healthcare LLC
- Psychiatric/Mental Health Nurse Practitioner
- Washington, DC
National Provider Identifier
1962361188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SHALOM HEALTHCARE LLC
- Practice address
- 2001 L St NW
Washington, DC 20036-4910 - Phone
- (202) 176-2654
- NPI assigned
- Jan 22, 2026
- Last updated
- Jun 3, 2026
- 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
- Mr. Pavel Smith
- Title
- Consultant
- Phone
- (202) 299-7311
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
2001 L St NW
Washington, DC 20036-4910
Mailing address
2001 L St NW
Washington, DC 20036-4910
Phone (202) 176-2654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1730 Rhode Island Ave NW
Ste 502
Washington, DC 20036
Phone (202) 460-7577
2001 L St NW
Washington, DC 20036
Phone (301) 416-9971
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- White Plains, MD
- NPI 1518602168
DC
-
- Case Manager/Care Coordinator
- Washington, DC
- NPI 1689487423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780444800000",
"number": "1962361188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 L ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200364910",
"telephone_number": "202-176-2654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 L ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200364910",
"telephone_number": "202-176-2654"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHALOM HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-22",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "PAVEL",
"authorized_official_title_or_position": "CONSULTANT",
"authorized_official_telephone_number": "202-299-7311",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.