Active NPIIndividual provider

Dr. Shannon J Ezovski, MD

Psychiatry & Neurology, Child & Adolescent Psychiatry in Westbrook, Maine

NPI Number1134624125
Practice location
123 Andover RD, Westbrook, ME 04092-3848
Fax
—
Last updated
March 16, 2026

Shannon Janice Ezovski is a Psychiatry & Neurology, Child & Adolescent Psychiatry based in Westbrook, ME. Shannon Janice Ezovski practices in Westbrook, ME and has the professional credentials of MD. The NPI Number for Shannon Janice Ezovski is 1134624125 and holds a License No. MD26680 (ME). The current practice location address for Shannon Janice Ezovski is 123 Andover RD, Westbrook, ME 04092-3848 and can be reached out via phone at 207-761-2200.

Provider Profile Details

NPI Number
1134624125
Provider Name
Shannon Janice Ezovski
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
123 Andover RD, Westbrook, ME 04092-3848
Phone Number
207-761-2200
Sole Proprietor
No
Provider Enumeration Date
March 29, 2018
Last Update Date
March 16, 2026
Certification Date
March 16, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Andover RD
Westbrook, ME 04092-3848
State
Maine
Zip
04092-3848
Phone Number
207-761-2200
Westbrook, ME 04092Get directions →

Provider Business Mailing Address Details

Address
123 Andover RD
Westbrook, ME 04092-3848
City
Westbrook
State
ME
Zip
04092-3848
Phone Number
207-761-2200

License Information

License Number (1)
MD26680
License State (1)
ME
Taxonomy (1)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License Number (2)
MD26680
License State (2)
ME
Taxonomy (2)
Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X · 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 Dr. Shannon J Ezovski, MD?

The NPI number of Dr. Shannon J Ezovski, MD is 1134624125. It was assigned on March 29, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Shannon J Ezovski, MD?

Dr. Shannon J Ezovski, MD is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X), licensed in ME under license number MD26680.

Where does Dr. Shannon J Ezovski, MD practice?

The practice location is 123 Andover RD, Westbrook, ME 04092-3848. The office can be reached at 207-761-2200 (phone).

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 1134624125 directly on the NPPES registry website.

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