Active NPIOrganization

Coastal Collaborative Psychiatry, LLC

Nurse Practitioner, Psych/Mental Health in Scarborough, Maine

NPI Number1003753278
Practice location
15 Pleasant Hill RD, Scarborough, ME 04074-9688
Fax
207-656-6243
Last updated
June 17, 2026

Coastal Collaborative Psychiatry, LLC is a healthcare organization based in Scarborough, ME. Coastal Collaborative Psychiatry, LLC practices in Scarborough, ME. The NPI Number for Coastal Collaborative Psychiatry, LLC is 1003753278. The current practice location address for Coastal Collaborative Psychiatry, LLC is 15 Pleasant Hill RD, Scarborough, ME 04074-9688 and can be reached out via phone at 207-813-7938 and via fax at 207-656-6243.

Provider Profile Details

NPI Number
1003753278
Provider Name
Coastal Collaborative Psychiatry, LLC
Provider Entity Type
Organization
Address
15 Pleasant Hill RD, Scarborough, ME 04074-9688
Phone Number
207-813-7938
Fax Number
207-656-6243
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
Shaheen Ganem, APRN, PMHNP-BC · Owner, APRN · 272-268-5794
Provider Enumeration Date
May 4, 2026
Last Update Date
June 17, 2026
Certification Date
June 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Pleasant Hill RD
Scarborough, ME 04074-9688
State
Maine
Zip
04074-9688
Phone Number
207-813-7938
Fax Number
207-656-6243
Scarborough, ME 04074Get directions →

Provider Business Mailing Address Details

Address
15 Pleasant Hill RD
Scarborough, ME 04074-9688
City
Scarborough
State
ME
Zip
04074-9688
Phone Number
207-813-7938
Fax Number
207-656-6243

License Information

Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Coastal Collaborative Psychiatry, LLC?

The NPI number of Coastal Collaborative Psychiatry, LLC is 1003753278. It was assigned on May 4, 2026 and is currently active in the NPPES registry.

What is the specialty of Coastal Collaborative Psychiatry, LLC?

Coastal Collaborative Psychiatry, LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).

Where does Coastal Collaborative Psychiatry, LLC practice?

The practice location is 15 Pleasant Hill RD, Scarborough, ME 04074-9688. The office can be reached at 207-813-7938 (phone) or 207-656-6243 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003753278 directly on the NPPES registry website.

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