SHORELINE PSYCHIATRY PC NPI 1699608091

NPI Information

  • NPI: 1699608091
  • Provider Name: SHORELINE PSYCHIATRY PC
  • Classification: Psychiatry & Neurology - 2084P0802X
  • Specialization: Addiction Psychiatry
  • Entity Type: Organization
  • Address: 385 BROADWAY STE 203
    REVERE, MA
    ZIP 02151
  • Phone: (443) 353-9263

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NPI Details

SHORELINE PSYCHIATRY PC is an addiction psychiatry psychiatry neurology in Revere, MA. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. SHORELINE PSYCHIATRY PC NPI is 1699608091. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

385 BROADWAY STE 203
REVERE, MA
ZIP 02151-049
Phone: (443) 353-9263

The provider's authorized official is Frank Michael Copeli .
The authorized official title is Owner/president and has the following contact phone number (443) 353-9263.

The enumeration date for this NPI number is 6/4/2026 and was last updated on 6/4/2026.

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
12084A0401XPsychiatry & NeurologyAddiction MedicineNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
32084P0802XPsychiatry & NeurologyAddiction PsychiatryYes

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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