MARK SHAUGHNESSY N.P. NPI 1104880350

NPI Information

  • NPI: 1104880350
  • Provider Name: MARK SHAUGHNESSY, N.P.
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15 PLEASANT HILL RD STE 204
    SCARBOROUGH, ME
    ZIP 04074
  • Phone: (207) 560-3770

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NPI Details

Mark Shaughnessy, N.P. is a psychiatric/mental health nurse practitioner in Scarborough, ME with 24 years of experience. Mark Shaughnessy, N.P. NPI is 1104880350. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15 PLEASANT HILL RD STE 204
SCARBOROUGH, ME
ZIP 04074-688
Phone: (207) 560-3770
Fax: (207) 560-3128

The NPI 1104880350 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/14/2006 and was last updated on 1/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthCNP81591MAINEYes
2363LP0808XNurse PractitionerPsychiatric/Mental Health51968MAINENo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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