NPIMap

Organization Active NPI

Black Rock Integrative Medicine

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frederick, MD
National Provider Identifier
1538095591
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BLACK ROCK INTEGRATIVE MEDICINE
Practice address
5705 Industry LN Ste 125
Frederick, MD 21704-5163
Phone
(301) 790-4938
Fax
(866) 441-1174
NPI assigned
Jun 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Sheri Lynn DenhamNPI 1295279214
Title
Owner
Phone
(301) 790-4938

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5705 Industry LN Ste 125
Frederick, MD 21704-5163

Mailing address

120 N Potomac St
Hagerstown, MD 21740-4810
Phone (301) 790-4938

National Provider Directory

National Provider Directory
Tax ID family
Black Rock Integrative Medicine4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

120 N Potomac St
Hagerstown, MD 21740
Phone (301) 790-4938

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1538095591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N POTOMAC ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404810",
            "telephone_number": "301-790-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 INDUSTRY LN STE 125",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045163",
            "telephone_number": "301-790-4938",
            "fax_number": "866-441-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK ROCK INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "DENHAM",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-790-4938"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.