Organization Active NPI

Shamlock Nursing Services LLC

Doing business as Shamlock Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1205798923
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SHAMLOCK NURSING SERVICES LLC
Doing business as
Shamlock Behavioral Health
Practice address
4015 W Salter Dr
Glendale, AZ 85308-2078
Phone
(410) 660-5117
NPI assigned
Dec 1, 2025
Last updated
Jan 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kerubo Happiness Nyachieo, PMHNPNPI 1891657516
Title
Owner
Phone
(410) 660-5117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

4015 W Salter Dr
Glendale, AZ 85308-2078

Mailing address

4015 W Salter Dr
Glendale, AZ 85308-2078
Phone (410) 660-5117

Other names 1

  • Shamlock Behavioral Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1205798923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 W SALTER DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082078",
            "telephone_number": "410-660-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 W SALTER DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082078",
            "telephone_number": "410-660-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMLOCK NURSING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "NYACHIEO",
        "authorized_official_first_name": "KERUBO",
        "authorized_official_middle_name": "HAPPINESS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-660-5117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shamlock Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.