SHAMLOCK NURSING SERVICES LLC
NPI 1205798923
Nurse Practitioner - Psychiatric/Mental Health in Glendale, AZ
About Shamlock Nursing Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAMLOCK NURSING SERVICES LLC (NPI 1205798923), doing business as Shamlock Behavioral Health, is a healthcare organization registered as a psychiatric/mental health in Glendale, Arizona and active in the NPI registry since December 2025. The organization lists Kerubo Happiness Nyachieo, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shamlock Nursing Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Shamlock Nursing Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shamlock Nursing Services LLC's NPI number?
The NPI number for Shamlock Nursing Services LLC is 1205798923. It was assigned to this organization in the NPPES registry on December 1, 2025. The provider is doing business as Shamlock Behavioral Health.
Where is Shamlock Nursing Services LLC located?
Shamlock Nursing Services LLC is located at 4015 W Salter Dr, Glendale, AZ 85308. The listed phone number is (410) 660-5117.
What is Shamlock Nursing Services LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Shamlock Nursing Services LLC enrolled in Medicare?
Yes. Shamlock Nursing Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shamlock Nursing Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Shamlock Nursing Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Shamlock Nursing Services LLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Shamlock Nursing Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shamlock Nursing Services LLC was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shamlock Nursing Services Llc · NPI 1205798923
Psychiatric/Mental Health organization in Glendale, Arizona. Organization record, active in the CMS NPPES registry since December 1, 2025.
## Identity
- **NPI:** 1205798923 (Entity type: Organization)
- **Enumerated:** December 1, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** Shamlock Behavioral Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kerubo Nyachieo, OWNER
## Practice location
- **Address:** 4015 W SALTER DR, Glendale, AZ 85308-2078
- **Phone:** (410) 660-5117
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205798923) · Data from the CMS NPPES public registry.