Shoreline Neuropsychiatric Services, LLC
Nurse Practitioner, Psych/Mental Health in Guilford, Connecticut
1124569157- Practice location
- 99 Whitfield St, Guilford, CT 06437-3429
- Phone
- 203-244-3443
- Fax
- 860-261-0669
- Last updated
- January 13, 2025
Shoreline Neuropsychiatric Services, LLC is a healthcare organization based in Guilford, CT. Shoreline Neuropsychiatric Services, LLC practices in Guilford, CT. The NPI Number for Shoreline Neuropsychiatric Services, LLC is 1124569157 and holds a License No. 12.004567 (CT). The current practice location address for Shoreline Neuropsychiatric Services, LLC is 99 Whitfield St, Guilford, CT 06437-3429 and can be reached out via phone at 203-244-3443 and via fax at 860-261-0669.
Provider Profile Details
- NPI Number
- 1124569157
- Provider Name
- Shoreline Neuropsychiatric Services, LLC
- Provider Entity Type
- Organization
- Address
- 99 Whitfield St, Guilford, CT 06437-3429
- Phone Number
- 203-244-3443
- Fax Number
- 860-261-0669
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Dr. Bruce Jamie Stevens, PMHNP · Owner · 203-693-1510
- Provider Enumeration Date
- March 9, 2017
- Last Update Date
- January 13, 2025
- Certification Date
- January 13, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 99 Whitfield St
Guilford, CT 06437-3429 - City
- Guilford
- State
- Connecticut
- Zip
- 06437-3429
- Phone Number
- 203-244-3443
- Fax Number
- 860-261-0669
Provider Business Mailing Address Details
- Address
- 6209 Knightsgate CT
Charlotte, NC 28269-0603 - City
- Charlotte
- State
- NC
- Zip
- 28269-0603
- Phone Number
- 203-693-1510
- Fax Number
- 938-253-3590
License Information
- License Number (1)
- 12.004567
- License State (1)
- CT
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Shoreline Neuropsychiatric Services, LLC?
The NPI number of Shoreline Neuropsychiatric Services, LLC is 1124569157. It was assigned on March 9, 2017 and is currently active in the NPPES registry.
What is the specialty of Shoreline Neuropsychiatric Services, LLC?
Shoreline Neuropsychiatric Services, LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 12.004567.
Where does Shoreline Neuropsychiatric Services, LLC practice?
The practice location is 99 Whitfield St, Guilford, CT 06437-3429. The office can be reached at 203-244-3443 (phone) or 860-261-0669 (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 1124569157 directly on the NPPES registry website.