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BROOK LANE BEHAVIORAL SERVICES, INC.
NPI 1538647748
Psychiatry & Neurology - Psychiatry in Hagerstown, MD

Active since July 31, 2018
13215 BROOK LANE, OUTPATIENT SERVICES, HAGERSTOWN, MD 21742(301) 733-0330(240) 310-1927 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 30, 2026, Jun 16, 2023, Jul 31, 2018 (3 updates tracked since 2018).

About Brook Lane Behavioral Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOK LANE BEHAVIORAL SERVICES, INC. (NPI 1538647748) is a healthcare organization registered as a psychiatry in Hagerstown, Maryland and active in the NPI registry since July 2018. The organization maintains 5 additional practice locations and lists Joshua Repac, Cfo, as its authorized official.

NPPES Registry Identity

NPI1538647748
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameBROOK LANE BEHAVIORAL SERVICES, INC.
Location Address13215 BROOK LANE, OUTPATIENT SERVICESHagerstown, MD 21742
Mailing Address13121 Brooklane DrHagerstown, MD 21742-1514 · (301) 733-0330 · Fax (301) 733-4038
Phone(301) 733-0330
Fax(240) 310-1927
Organization SubpartNo
Authorized OfficialJoshua RepacCfo · (301) 790-9351
Enumeration DateJuly 31, 2018
Last NPPES UpdateJanuary 30, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
✔ NPI 1538647748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedCounselor · SchoolTaxonomy 101YS0200X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
13215 BROOK LANE, Hagerstown, MD 21742
Open in Google Maps ↗

Secondary Practice Locations 5

Location 113310-A Brook Lane, Laurel HallHagerstown, MD 21742-1435 · Phone (301) 733-0330
Location 213218 Brook Lane, StoneBridgeHagerstown, MD 21742-1435 · Phone (301) 733-0330
Location 318714 North Village PlazaHagerstown, MD 21742-2454 · Phone (301) 733-0330 · Fax (301) 739-7380
Location 44540 Mack Avenue, Suite BFrederick, MD 21703-3303 · Phone (301) 733-0330 · Fax (240) 457-4383
Location 51050 Industrial Blvd.Cumberland, MD 21502 · Phone (301) 733-0330

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brook Lane Behavioral Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

47

Medicare enrollment records show 47 clinicians reassign Medicare billing to Brook Lane Behavioral Services, Inc., which bills Medicare for the services they deliver. Of these, 32 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Mental Health Counselor17
Clinical Social Worker14
Nurse Practitioner9
Psychiatry5
Clinical Psychologist2

Nearest to this location (20)

See all 47
John Burke, PHD
Clinical Psychologist
NPI 1114992427
13218 BROOK LANE DRIVE
Hagerstown, MD 21742
(301) 733-0331
✔ PECOS0.1 mi
Tamara Huff, LCPC
Mental Health Counselor
NPI 1770558017
13218 BROOK LANE DRIVE
Hagerstown, MD 21742
(301) 733-0331
✔ PECOS✔ Accepts Medicare0.1 mi
Aisha Reikow, PMHNP-BC
Nurse Practitioner
NPI 1699196527
13215 BROOK LANE
Hagerstown, MD 21742
(301) 733-0331
✔ PECOS✔ Accepts Medicare0.1 mi
Andrea Allen, PMHNP
Nurse Practitioner
NPI 1588327191
13121 BROOKLANE DR
Hagerstown, MD 21742
(301) 733-0330
✔ PECOS✔ Accepts Medicare0.1 mi
Mohammed Azam, MD
Psychiatry
NPI 1619232758
13121 BROOKLANE DR
Hagerstown, MD 21742
(301) 733-0330
✔ PECOS✔ Accepts Medicare0.1 mi
Shawna Chisholm, CRNP
Nurse Practitioner
NPI 1679091524
13121 BROOKLANE DR
Hagerstown, MD 21742
(301) 733-0330
✔ PECOS✔ Accepts Medicare0.1 mi
Allyson Lawson, PMHNP-BC
Nurse Practitioner
NPI 1245588532
13121 BROOKLANE DR
Hagerstown, MD 21742
(301) 733-0330
✔ PECOS✔ Accepts Medicare0.1 mi
Lisandra Lysaith, NP
Nurse Practitioner
NPI 1356082804
13121 BROOKLANE DR
Hagerstown, MD 21742
(301) 733-0330
✔ PECOS✔ Accepts Medicare0.1 mi
Tayler Rowe
Clinical Social Worker
NPI 1649805979
13121 BROOKLANE DR
Hagerstown, MD 21742
(301) 733-0330
✔ PECOS✔ Accepts Medicare0.1 mi
Cory Shives, LCPC
Mental Health Counselor
NPI 1699218461
13121 BROOKLANE DR
Hagerstown, MD 21742
(301) 733-0331
✔ PECOS0.1 mi
Karley Hensley, LCPC
Mental Health Counselor
NPI 1649411075
13215 BROOK LANE DRIVE
Hagerstown, MD 21742
(301) 733-0331
✔ PECOS✔ Accepts Medicare0.8 mi
Thomas Bradshaw
Clinical Social Worker
NPI 1952086977
18714 N VILLAGE
Hagerstown, MD 21742
(301) 733-0331
✔ PECOS✔ Accepts Medicare3.2 mi
Teresa Coda, LMSW
Clinical Social Worker
NPI 1427737915
18714 N VILLAGE
Hagerstown, MD 21742
(301) 739-7258
✔ PECOS✔ Accepts Medicare3.2 mi
Jessica Dorsey, LCPC
Mental Health Counselor
NPI 1275294910
18714 N VILLAGE
Hagerstown, MD 21742
(301) 733-0331
✔ PECOS✔ Accepts Medicare3.2 mi
Christine Edell, LCPC
Mental Health Counselor
NPI 1831585165
18714 N VILLAGE
Hagerstown, MD 21742
(301) 733-0330
✔ PECOS✔ Accepts Medicare3.2 mi
Laura Hans, LCSW-C
Mental Health Counselor
NPI 1093453748
18714 N VILLAGE
Hagerstown, MD 21742
(301) 733-0330
✔ PECOS✔ Accepts Medicare3.2 mi
Margaret Kocak, PSYD
Clinical Psychologist
NPI 1154000875
18714 N VILLAGE
Hagerstown, MD 21742
(301) 733-0331
✔ PECOS3.2 mi
Sabrina Mccauley Shriver, LCPC, NCC
Mental Health Counselor
NPI 1700414083
18714 N VILLAGE
Hagerstown, MD 21742
(301) 733-0330
✔ PECOS✔ Accepts Medicare3.2 mi
Jamal Fawaz, MD
Psychiatry
NPI 1003881335
13215 BROOK LANE
Hagerstown, MD 21742
(301) 733-0331
✔ PECOS✔ Accepts Medicare4.4 mi
Gratia Johns Boehme
Clinical Social Worker
NPI 1386672202
13215 BROOK LANE
Hagerstown, MD 21742
(301) 733-0330
✔ PECOS4.4 mi
See all 47 clinicians

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 Brook Lane Behavioral Services, Inc.'s NPI number?

The NPI number for Brook Lane Behavioral Services, Inc. is 1538647748. It was assigned to this organization in the NPPES registry on July 31, 2018.

Where is Brook Lane Behavioral Services, Inc. located?

Brook Lane Behavioral Services, Inc. is located at 13215 Brook Lane Outpatient Services, Hagerstown, MD 21742. The listed phone number is (301) 733-0330.

What is Brook Lane Behavioral Services, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Brook Lane Behavioral Services, Inc. enrolled in Medicare?

Yes. Brook Lane Behavioral Services, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brook Lane Behavioral Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 47 clinicians in 5 Medicare specialties reassign their Medicare billing to Brook Lane Behavioral Services, Inc.. 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. The largest specialties are Mental Health Counselor (17), Clinical Social Worker (14) and Nurse Practitioner (9). Of these, 32 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Brook Lane Behavioral Services, Inc. was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.