Brook Lane Behavioral Services, Inc.
NPI 1063721512 · Mental Health Clinic/Center (Including Community Mental Health Center) · Frederick, MD
Brook Lane Behavioral Services, Inc. is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Frederick, MD (NPI 1063721512).
Provider details
- NPI number
- 1063721512
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joshua Repac, Cfo(301) 790-9351
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Brook Lane Buckeystown
Registry dates
- Enumerated
- 2010-10-01
- Last updated
- 2025-09-23
- Certified
- 2025-09-23
Frequently asked questions
- What is Brook Lane Behavioral Services, Inc.'s NPI number?
- Brook Lane Behavioral Services, Inc.'s National Provider Identifier (NPI) is 1063721512, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brook Lane Behavioral Services, Inc.?
- Brook Lane Behavioral Services, Inc. is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Brook Lane Behavioral Services, Inc. located?
- Brook Lane Behavioral Services, Inc.'s practice location on file with NPPES is 4540 Mack Ave Ste B, Frederick, MD 21703-3303.
- What is Brook Lane Behavioral Services, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Brook Lane Behavioral Services, Inc. is (301) 733-0330.
- Who is the authorized official for Brook Lane Behavioral Services, Inc.?
- The authorized official listed on Brook Lane Behavioral Services, Inc.'s NPPES record is Joshua Repac, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brook Lane Behavioral Services, Inc.'s NPI active?
- Yes — Brook Lane Behavioral Services, Inc.'s NPI (1063721512) is active in the NPPES registry as of the last update on 2025-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.