BROOK LANE BEHAVIORAL SERVICES, INC. (NPI# 1558648410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558648410 |
| Entity Type | Organization |
| Organization Name | BROOK LANE BEHAVIORAL SERVICES, INC. |
| Other Organization Name | FREDERICK PHP |
| Practice Address |
4540b Mack Avenue Frederick MD 21701 |
| Mailing Address |
13121 Brook Lane Hagerstown MD 21742-1435 |
| Practice Telephone | 3017330330 |
| Practice Fax Number | 3017334038 |
| Mailing Telephone | 3017330330 |
| Mailing Fax Number | 3017334038 |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2018-10-01 |
| Authorized Official Name | JAMIE LEA BARKDOLL (CRED COORDINATOR) |
| Authorized Official Telephone | 3017330331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Frederick PHP | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1538647748 | Brook Lane Behavioral Services, Inc. | Counselor | 13215 Brook Lane, Outpatient Services, Hagerstown, MD 21742 | 2018-07-31 |
| 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 |
4540B MACK AVENUE |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670045 | Alana Earp | Social Worker | 810 Toll House Avenue, Frederick, MD 21701 | 2019-10-14 |
| 1851866065 | Main Place Treatment Centers LLC. | Clinic/Center | 127 S. Smallwood Street, Frederick, MD 21701 | 2018-10-04 |
| 1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
| 1063917938 | Kristin Deely | Nurse Practitioner | 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 | 2018-03-24 |
| 1689180119 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 300 B Scholls Lane, Frederick, MD 21701 | 2017-12-20 |
| 1326590068 | Natalie Reid | Nurse Practitioner | 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 | 2016-10-28 |
| 1649727967 | Scl Corpration | In Home Supportive Care | 550 Highland Street, Suite 110, Frederick, MD 21701 | 2016-09-02 |
| 1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
| 1144694969 | Leslee Bry | Counselor | 120 W Church St Ste 3b, Frederick, MD 21701 | 2015-11-17 |
| 1851797732 | Frederick Dental | Dentist | 401 W 7th Street, Frederick Dental, Frederick, MD 21701 | 2014-11-05 |
| Find all providers in zip 21701 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780236992 | Anne Arundel Mental Health Hospital, Inc. | Psychiatric Hospital | 175 Harry S. Truman Pkwy, Annapolis, MD 21401-7305 | 2019-07-09 |
| 1811345697 | Department of Behavorial Health,st Elizabeth Hospital Dc | Psychiatric Hospital | 1519 Heather Hollow Cir, Apt 14, Silver Spring, MD 20904-2366 | 2016-06-02 |
| 1366792251 | Lauren Marie Matthews | Psychiatric Hospital | 12524 Triple Crown Rd, North Potomac, MD 20878-3746 | 2012-09-18 |
| 1578810693 | Wrnmmcb | Psychiatric Hospital | Bldg 19 Room 6407 8901 Wisconsin Ave, Department of Psychiatry, Bethesda, MD 20889 | 2012-08-08 |
| 1588810972 | Dhmh Upper Shore Community Mental Health | Psychiatric Hospital | 300 Scheeler Road, Chestertown, MD 21620 | 2008-08-18 |
| 1356446132 | Veterans Administration | Psychiatric Hospital | Bldg 364 Ave. D, Perry Point, MD 21902 | 2006-09-14 |
| 1851324164 | Sheppard Pratt Health System, Inc. | Psychiatric Hospital | 4100 College Ave, Ellicott City, MD 21041-0836 | 2006-07-09 |
| 1629009311 | Daniel S Smithpeter Md | Psychiatric Hospital | 29466 Pintail Drive, Ste 9, Easton, MD 21601 | 2006-07-05 |
| 1316918048 | Brook Lane Health Services, Inc. | Psychiatric Hospital | 13215 Brook Lane, Hagerstown, MD 21742-1435 | 2006-01-31 |
| 1760468623 | Comptroller of Maryland Central Payroll Bureau | Psychiatric Hospital | 630 W Fayette St, Baltimore, MD 21201 | 2005-12-21 |
| Find all providers with the same taxonomy | ||||
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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.