Brook Lane Health Services

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

3016 Issued in MD

Legal business name

BROOK LANE HEALTH SERVICES

Practice address

13215 Brook Lane
Hagerstown, MD 21742-1435

Phone

(301) 733-0330

Fax

(301) 733-4038

NPI assigned

Feb 7, 2006

Last updated

Feb 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua Repac

Title

Cfo

Phone

(301) 790-9351

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adult PHP Other name

Medicare fee-for-service enrollment

Enrolled in MD2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558333138. Details of each certification follow.

• CCN 214003 Hospital · Active · Details

Hospital certification: CCN 214003

Legal name

BROOK LANE HEALTH SERVICES INC

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Jul 1, 1966

Last certification

Jan 12, 2007

Beds

46

Ownership / control type

Private (not for profit)

Organization structure

CorporationNon-profit

Incorporated

Jul 1, 1959 in MD

Enrollment address

13215 Brooklane Dr
Hagerstown, MD 21742-1435
Hospital Psychiatric Unit

Hospital subgroups

Psychiatric

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Brook Lane Behavioral Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frederick, MD
  • NPI 1063721512

  O20040521000256

  Same enrollment
• Brook Lane Behavioral Services, Inc.

  dba North Village

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hagerstown, MD
  • NPI 1417928151

  O20040521000256

  Same enrollment
• Brook Lane Health Services

  • Psychiatry Physician
  • Hagerstown, MD
  • NPI 1487862181

  O20040521000256

  Same enrollment
• Brook Lane Health Services

  • Psychiatric Hospital
  • Hagerstown, MD
  • NPI 1780659136

  O20040521000256

  Same enrollment
• Brook Lane Health Services, Inc.

  • Psychiatric Hospital
  • Hagerstown, MD
  • NPI 1316918048

  O20040521000256, O20121029000149

  Same enrollment

Listed as

Brook Lane Health ServicesCCN 214003 · All quality measures

Type

Psychiatric

Ownership

Voluntary non-profit - Private

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

Tax ID family

Book Lane House Staff5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Brook Lane Health Services

  • Psychiatry Physician
  • Hagerstown, MD
  • NPI 1487862181
  NPD tax ID
• Brook Lane Health Services

  • Psychologist
  • Hagerstown, MD
  • NPI 1700853504
  NPD tax ID
• Brook Lane Health Services/Laurel Hall

  • School Counselor
  • Hagerstown, MD
  • NPI 1891185658
  NPD tax ID
• Brook Lane Health Services/Stonebridge

  • Psychiatric Hospital
  • Hagerstown, MD
  • NPI 1861643595
  NPD tax ID

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 4

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.

• Shawna Angel Chisholm, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hagerstown, MD
  • NPI 1679091524
  NPD (past)
• Jennifer G Douglas, CRNP, PMHNP, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Owings Mills, MD
  • NPI 1114559036
  NPD (past)
• Aisha Stevenson Reikow, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hagerstown, MD
  • NPI 1699196527
  NPD (past)
• Fredrik Palmer-Picard, DO

  • Child & Adolescent Psychiatry Physician
  • Washington, DC
  • NPI 1144727504
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1558333138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 BROOKLANE DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421514",
            "telephone_number": "301-733-0330",
            "fax_number": "301-733-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13215 BROOK LANE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421435",
            "telephone_number": "301-733-0330",
            "fax_number": "301-733-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOK LANE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "REPAC",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-790-9351"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MD",
            "license": "3016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63503100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult PHP",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Adult PHP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brook Lane Behavioral Services, Inc.
• Brook Lane Behavioral Services, Inc. (North Village)
• Brook Lane Behavioral Services, Inc.
• Brook Lane Behavioral Services, Inc.
• Brook Lane Health Services
• Brook Lane Health Services
• Brook Lane Health Services
• Brook Lane Health Services, Inc.
• Brook Lane Health Services/Laurel Hall
• Brook Lane Health Services/Stonebridge

• Psychiatric Hospital in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Psychiatric Hospital in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.