NPIMap

Organization Active NPI

Choice Pain & Rehabilitation Center LLC

Doing business as Choice Recovery Center

  • Adult Mental Health Clinic/Center
  • Columbia, MD
National Provider Identifier
1871135947
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CHOICE PAIN & REHABILITATION CENTER LLC
Doing business as
Choice Recovery Center
Practice address
9123 Old Annapolis Rd Ste 203-204
Columbia, MD 21045-1953
Phone
(410) 505-8605
NPI assigned
Oct 10, 2019
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CHOICE PAIN & REHABILITATION CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Tristan J Shockley, MDNPI 1932242542
Title
Ceo
Phone
(410) 505-8605

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU

Addresses

Primary practice location

9123 Old Annapolis Rd Ste 203-204
Columbia, MD 21045-1953

Mailing address

9133 Old Annapolis Rd
Suite 203-204
Columbia, MD 21045-1970
Phone (410) 505-8605

Other names 1

  • Choice Recovery Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.choicerecoverymd.com

National Provider Directory

National Provider Directory
Tax ID family
Choice Pain Rehab Ctr LLC7 organizations share this tax ID, including this one
Part of
Choice Pain Rehab Ctr LLC

Other organizations with this tax ID 6

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

Locations

9123 Old Annapolis Rd
Ste 203
Columbia, MD 21045
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": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1871135947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9133 OLD ANNAPOLIS RD",
            "address_2": "SUITE 203-204",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451970",
            "telephone_number": "410-505-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9123 OLD ANNAPOLIS RD STE 203-204",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451953",
            "telephone_number": "410-505-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE PAIN & REHABILITATION CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHOICE PAIN & REHABILITATION CENTER, LLC",
        "enumeration_date": "2019-10-10",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "SHOCKLEY",
        "authorized_official_first_name": "TRISTAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-505-8605",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.choicerecoverymd.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "9123 Old Annapolis Rd Ste 203",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210451970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Choice Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Choice Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.