SAR SHALOM HOLDINGS LLC NPI 1265306575

NPI Information

  • NPI: 1265306575
  • Provider Name: SAR SHALOM HOLDINGS LLC
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Address: 6300 PARK HEIGHTS AVENUE
    BALTIMORE, MD
    ZIP 21215
  • Phone: (443) 803-5582

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NPI Details

SAR SHALOM HOLDINGS LLC is an adolescent and children mental health clinic center in Baltimore, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. SAR SHALOM HOLDINGS LLC NPI is 1265306575. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6300 PARK HEIGHTS AVENUE
BALTIMORE, MD
ZIP 21215
Phone: (443) 803-5582

The provider's authorized official is Chana Poupko .
The authorized official title is Behavioral Analyst and has the following contact phone number (443) 803-5582.

The enumeration date for this NPI number is 9/30/2025 and was last updated on 9/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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