Shifting Gears Behavioral Health and Wellness LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SHIFTING GEARS BEHAVIORAL HEALTH AND WELLNESS LLC

Practice address

813 Stable Manor Rd
Reisterstown, MD 21136-6465

Phone

(410) 526-7882

NPI assigned

Jan 30, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Ryan, PSY.DNPI 1811182207

Title

Director

Phone

(410) 526-7882

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nicole Jennifer Ryan, PSY.D

  • Professional Counselor
  • Reisterstown, MD
  • NPI 1811182207
  NPD Authorized official

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1548073869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 THAYER CTR STE C",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 STABLE MANOR RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211366465",
            "telephone_number": "410-526-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFTING GEARS BEHAVIORAL HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-526-7882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheppard Pratt Health System, Inc.
• Sheppard Pratt Health System, Inc.
• Sheppard Pratt Health System, Inc.
• Ronald F Sher, M.D.
• Alfred Ralph Sherry, D.C.
• Davis Hall Shingleton, M.D.
• Melanie Shirley, LCPC
• Akim Shittu, MD
• Iyawamiwa Shittu
• Jenna Shuman, LGPC

• All providers in Reisterstown, MD
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.