BROOK LANE BEHAVIORAL SERVICES, INC. (NPI# 1538647748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538647748 |
| Entity Type | Organization |
| Organization Name | BROOK LANE BEHAVIORAL SERVICES, INC. |
| Practice Address |
13215 Brook Lane Outpatient Services Hagerstown MD 21742 |
| Mailing Address |
13121 Brook Lane Hagerstown MD 21742 |
| Practice Telephone | 3017330330 |
| Practice Fax Number | 2403101927 |
| Mailing Telephone | 3017330330 |
| Mailing Fax Number | 3017334038 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |
| Authorized Official Name | DAVID SCHEY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3017330331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18714 North Village Plaza, Hagerstown, MD 217422454 | 3017330330 | 3017397380 |
| 4540 Mack Avenue, Suite B, Frederick, MD 217033303 | 3017330330 | 2404574383 |
| 5301 Buckeystown Pike, Hagerstown, MD 217048380 | 3017330330 | 3012283889 |
| 13310-a Brook Lane, Laurel Hall, Hagerstown, MD 217421435 | 3017330330 | |
| 13218 Brook Lane, Stonebridge, Hagerstown, MD 217421435 | 3017330330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558648410 | Brook Lane Behavioral Services, Inc. | Psychiatric Hospital | 4540b Mack Avenue, Frederick, MD 21701 | 2011-11-07 |
| 1144703109 | Brook Lane Behavioral Services, Inc. | Psychiatric Hospital | 13215 Brook Lane, Hagerstown, MD 21742-1495 | 2018-09-14 |
| 1962985929 | Brook Lane Behavioral Services, Inc. | Psychiatric Unit | 13215 Brook Lane, Hagerstown, MD 21742 | 2018-09-14 |
| 1538657630 | Brook Lane Behavioral Services, Inc. | Clinic/Center | 5301 Buckeystown Pike, Frederick, MD 21704-8370 | 2018-04-25 |
| 1003304106 | Brook Lane Behavioral Services, Inc. | Clinic/Center | 18714 N Village, Hagerstown, MD 21742-2454 | 2018-04-25 |
| 1871983320 | Brook Lane Behavioral Services, Inc. | Counselor | 4540 B-d Mack Ave, Frederick, MD 21701 | 2015-02-04 |
| 1063721512 | Brook Lane Behavioral Services, Inc. | Clinic/Center | 5301 Buckeystown Pike, Suite 170, Frederick, MD 21704-8370 | 2010-10-01 |
| 1417928151 | Brook Lane Behavioral Services, Inc. | Clinic/Center | 18714 N Village, Shopping Center, Hagerstown, MD 21742-2454 | 2006-01-31 |
| Street Address |
13215 BROOK LANE OUTPATIENT SERVICES |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316918048 | Brook Lane Health Services, Inc. | Psychiatric Hospital | 13215 Brook Lane, Hagerstown, MD 21742-1435 | 2006-01-31 |
| 1225509748 | Brienne Superczynski | Social Worker | 13215 Brook Lane, Hagerstown, MD 21742 | 2018-12-10 |
| 1144703109 | Brook Lane Behavioral Services, Inc. | Psychiatric Hospital | 13215 Brook Lane, Hagerstown, MD 21742-1495 | 2018-09-14 |
| 1962985929 | Brook Lane Behavioral Services, Inc. | Psychiatric Unit | 13215 Brook Lane, Hagerstown, MD 21742 | 2018-09-14 |
| 1114412301 | Katherine E Loutrel | Social Worker | 13215 Brook Lane, Hagerstown, MD 21742 | 2018-06-29 |
| 1659876951 | Adam Delauter | Social Worker | 13215 Brook Lane, Hagerstown, MD 21742-1514 | 2018-03-28 |
| 1790280261 | Elisabeth C Mccall Martin | Social Worker | 13215 Brook Lane, Hagerstown, MD 21742-1514 | 2018-03-27 |
| 1346756467 | Shawn M Burke | Social Worker | 13215 Brook Lane, Hagerstown, MD 21742 | 2017-12-27 |
| 1932653086 | Kaitlin Elizabeth Carlson | Social Worker | 13215 Brook Lane, Hagerstown, MD 21742-1514 | 2016-08-06 |
| 1871940197 | Meghan Egerton | Social Worker | 13215 Brook Lane, Hagerstown, MD 21742-1514 | 2016-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992009864 | Phoenix Health Center, LLC | Psychiatry & Neurology | 101 King St, Hagerstown, MD 21740-5732 | 2011-01-06 |
| 1356590145 | Yubaraj Bhandari | Psychiatry & Neurology | 11116 Medical Campus Rd Ste 2989, Hagerstown, MD 21742-6710 | 2008-09-16 |
| 1962695643 | Capital Mental Health Associates LLC | Psychiatry & Neurology | 431 Dual Hwy, Hagerstown, MD 21740-5713 | 2007-08-24 |
| 1649234584 | Anthony J Burlay | Psychiatry & Neurology | 10213 Saddlebrooke Ln, Hagerstown, MD 21740-1578 | 2006-04-17 |
| 1538165964 | Eduardo Del Rosario Espiridion | Psychiatry & Neurology | 13114 Pennsylvania Ave, Hagerstown, MD 21742-2741 | 2005-06-21 |
| 1023627510 | Kingdom Behavioral Health LLC | Psychiatry & Neurology | 5 Public Sq Ste 213, Hagerstown, MD 21740-5599 | 2020-07-30 |
| 1326304288 | Interstate Psychaitric Care | Psychiatry & Neurology | 324 E Antietam St, Suite 307-a, Hagerstown, MD 21740-5754 | 2012-04-04 |
| 1902190457 | Ajay Bhandari | Psychiatry & Neurology | 11116 Medical Campus Rd, Suite 2989, Hagerstown, MD 21742-6710 | 2011-06-01 |
| 1275849242 | Meritus Medical Center Inc | Psychiatry & Neurology | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2010-08-27 |
| 1255568010 | Kamal S Bhatia | Psychiatry & Neurology | 13215 Brook Lane, Hagerstown, MD 21742 | 2009-06-18 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.