Organization Active NPI

Choice Recovery House

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Baltimore, MD
National Provider Identifier
1306539226
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
CHOICE RECOVERY HOUSE
Practice address
6615 Reisterstown Rd Ste 307
Baltimore, MD 21215-2686
Phone
(410) 505-8605
Fax
(240) 770-0436
NPI assigned
May 26, 2023
Last updated
Sep 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Tristan Julian ShockleyNPI 1932242542
Title
Ceo
Phone
(240) 786-1001

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
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X Primary

Addresses

Primary practice location

6615 Reisterstown Rd Ste 307
Baltimore, MD 21215-2686

Mailing address

6615 Reisterstown Rd Ste 307
Baltimore, MD 21215-2686
Phone (410) 505-8605

National Provider Directory

National Provider Directory

Locations

6615 Reisterstown Rd
Ste 307
Baltimore, MD 21215
Phone (410) 505-8605

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": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1306539226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 REISTERSTOWN RD STE 307",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152686",
            "telephone_number": "410-505-8605",
            "fax_number": "240-770-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 REISTERSTOWN RD STE 307",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152686",
            "telephone_number": "410-505-8605",
            "fax_number": "240-770-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE RECOVERY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "SHOCKLEY",
        "authorized_official_first_name": "TRISTAN",
        "authorized_official_middle_name": "JULIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-786-1001"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.