SHAMLOCK NURSING SERVICES LLC
NPI 1205798923
Nurse Practitioner - Psychiatric/Mental Health in Glendale, AZ

Active since December 01, 2025
4015 W SALTER DR, GLENDALE, AZ 85308(410) 660-5117 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 2, 2026, Dec 16, 2025, Dec 1, 2025 (3 updates tracked since 2025).

  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About SHAMLOCK NURSING SERVICES LLC

This page provides the complete NPI Profile along with additional information for Shamlock Nursing Services Llc, a provider established in Glendale, Arizona operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1205798923 assigned on December 2025. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated one year ago. Shamlock Nursing Services Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Kerubo Happiness Nyachieo Pmhnp (Owner)

NPI
1205798923 Verify this NPI
Provider Name
SHAMLOCK NURSING SERVICES LLC
Entity Type
Organization
Location Address
4015 W SALTER DR GLENDALE, AZ 85308
Location Phone
(410) 660-5117
Mailing Address
4015 W SALTER DR GLENDALE, AZ 85308
Mailing Phone
(410) 660-5117
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2025
Last Update Date
01-02-2026
Code Navigator

A nurse practitioner (NP) like Shamlock Nursing Services Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KERUBO HAPPINESS NYACHIEO PMHNP

Authorized Official Title
OWNER
Authorized Official Phone
(410) 660-5117

Reviews for SHAMLOCK NURSING SERVICES LLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Community Based Residential Treatment Facility, Mental Illness
4015 W SALTER DR
GLENDALE, AZ 85308
Nurse Practitioner (Psychiatric/Mental Health)
4015 W SALTER DR
GLENDALE, AZ 85308

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205798923, enumerated as an "organization" on December 01, 2025.

The provider is located at 4015 W SALTER DR GLENDALE, AZ 85308 and the phone number is (410) 660-5117.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.