{"npi":"1316918048","type":"NPI-2","status":"active","name":{"display":"Brook Lane Health Services, Inc.","other":[],"organization_name":"BROOK LANE HEALTH SERVICES, INC.","authorised_official":"Joshua Repac"},"specialty":{"primary_taxonomy":"283Q00000X","primary_taxonomy_description":"Psychiatric Hospital","slug":"psychiatric-hospital","schema_org_specialty":null,"all":[{"code":"283Q00000X","description":"Psychiatric Hospital","primary":true,"state":"MD","license":"21-002"}]},"addresses":[{"purpose":"LOCATION","street_1":"13215 BROOK LANE","city":"HAGERSTOWN","state":"MD","postal_code":"217421435","country_code":"US","phone":"3017330330","fax":"3017334038"},{"purpose":"MAILING","street_1":"13121 BROOKLANE DR","city":"HAGERSTOWN","state":"MD","postal_code":"217421514","country_code":"US","phone":"3017330330","fax":"3017334038"}],"license":{"state":"MD","number":"21-002"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"063503100","state":"MD","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20121029000149","type_code":"00-09","type_desc":"PART A PROVIDER - HOSPITAL","state":"MD","pac_id":"9436140068"}]},"enumeration_date":"2006-01-31","last_updated":"2026-02-17","_meta":{"source":"NPPES","snapshot_date":"2026-02-17","doc_url":"https://findmynpi.com/api"}}