NPIMap

Organization Active NPI

Shine Behavioral Health, LLC

Doing business as Shine Wellness

  • Psychiatry Physician
  • Severna Park, MD
National Provider Identifier
1255969713
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SHINE BEHAVIORAL HEALTH, LLC
Doing business as
Shine Wellness
Practice address
541 Benfield Rd Ste a
Severna Park, MD 21146-2523
Phone
(410) 513-4513
Fax
(866) 697-4991
NPI assigned
Mar 31, 2020
Last updated
Apr 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Christy CallahanNPI 1508237512
Title
Psychiatric Nurse Practitioner
Phone
(410) 513-4513

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
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

541 Benfield Rd Ste a
Severna Park, MD 21146-2523

Mailing address

541 Benfield Rd Ste a
Severna Park, MD 21146-2523
Phone (410) 513-4513

Other names 1

  • Shine Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

541 Benfield Rd
#A
Severna Park, MD 21146
Phone (410) 513-4513

Practitioners & affiliated clinicians

Practitioners 11

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": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1255969713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 BENFIELD RD STE A",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462523",
            "telephone_number": "410-513-4513",
            "fax_number": "866-697-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 BENFIELD RD STE A",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462523",
            "telephone_number": "410-513-4513",
            "fax_number": "866-697-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "410-513-4513"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shine Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.