NPIMap

Organization Active NPI

Phaze Counseling Services Inc

  • Rehabilitation Clinic/Center
  • Nottingham, MD
National Provider Identifier
1629842141
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PHAZE COUNSELING SERVICES INC
Practice address
8007 Corporate Dr Ste a
Nottingham, MD 21236-4905
Phone
(410) 874-9595
NPI assigned
Nov 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Shanntel Monique GladneyNPI 1821437559
Title
Ceo
Phone
(443) 622-8755

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
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

8007 Corporate Dr Ste a
Nottingham, MD 21236-4905

Mailing address

8007 Corporate Dr Ste a
Nottingham, MD 21236-4905
Phone (410) 874-9595

National Provider Directory

National Provider Directory
Tax ID family
Phaze Counseling Serv Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1629842141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8007 CORPORATE DR STE A",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364905",
            "telephone_number": "410-874-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8007 CORPORATE DR STE A",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364905",
            "telephone_number": "410-874-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAZE COUNSELING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "GLADNEY",
        "authorized_official_first_name": "SHANNTEL",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-622-8755"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.