SHORELINE NEUROPSYCHIATRIC SERVICES LLC NPI 1124569157

NPI Information

NPI: 1124569157
Provider Name: SHORELINE NEUROPSYCHIATRIC SERVICES, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
204 CHERRY ST STE 15
MILFORD, CT
ZIP 06460
Phone: (203) 876-0545
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SHORELINE NEUROPSYCHIATRIC SERVICES, LLC is a psychiatric/mental health nurse practitioner in Milford, CT. SHORELINE NEUROPSYCHIATRIC SERVICES, LLC NPI is 1124569157. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

204 CHERRY ST STE 15
MILFORD, CT
ZIP 06460-555
Phone: (203) 876-0545
Fax: (938) 253-3590

The provider's authorized official is Bruce Jamie Stevens .
The authorized official title is Owner and has the following contact phone number (203) 693-1510.

The enumeration date for this NPI number is 3/9/2017 and was last updated on 7/29/2021.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	12.004567	CONNECTICUT	No

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: 11/14/2023

NPI Synchronization or Removal

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