Active NPIIndividual provider

Shannon M Main, PMHNP, CNP

Nurse Practitioner, Psych/Mental Health in Haverhill, Massachusetts

NPI Number1538885686
Practice location
62 Brown St Ste 305, Haverhill, MA 01830-6790
Fax
978-369-0908
Last updated
July 25, 2026

Shannon Marie Main is a Nurse Practitioner, Psych/Mental Health based in Haverhill, MA. Shannon Marie Main practices in Haverhill, MA and has the professional credentials of PMHNP, CNP. The NPI Number for Shannon Marie Main is 1538885686 and holds a License No. 071196-21 (NH). The current practice location address for Shannon Marie Main is 62 Brown St Ste 305, Haverhill, MA 01830-6790 and can be reached out via phone at 978-369-1113 and via fax at 978-369-0908.

Provider Profile Details

NPI Number
1538885686
Provider Name
Shannon Marie Main
Credential
PMHNP, CNP
Provider Entity Type
Individual
Gender
Female
Address
62 Brown St Ste 305, Haverhill, MA 01830-6790
Phone Number
978-369-1113
Fax Number
978-369-0908
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
October 19, 2022
Last Update Date
July 25, 2026
Certification Date
July 25, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 Brown St Ste 305
Haverhill, MA 01830-6790
Zip
01830-6790
Phone Number
978-369-1113
Fax Number
978-369-0908
Haverhill, MA 01830Get directions →

Provider Business Mailing Address Details

Address
125 Hartwell Ave
Lexington, MA 02421-3100
City
Lexington
State
MA
Zip
02421-3100
Phone Number
978-369-1113
Fax Number
978-369-0908

License Information

License Number (1)
071196-21
License State (1)
NH
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN2298619
License State (2)
MA
Taxonomy (2)
Registered Nurse · 163W00000X
License Number (3)
CNPNE10000313
License State (3)
MA
Taxonomy (3)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
License Number (4)
071196-23
License State (4)
NH
Taxonomy (4)
Nurse Practitioner, Psych/Mental Health · 363LP0808X

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 Shannon M Main, PMHNP, CNP?

The NPI number of Shannon M Main, PMHNP, CNP is 1538885686. It was assigned on October 19, 2022 and is currently active in the NPPES registry.

What is the specialty of Shannon M Main, PMHNP, CNP?

Shannon M Main, PMHNP, CNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NH under license number 071196-21.

Where does Shannon M Main, PMHNP, CNP practice?

The practice location is 62 Brown St Ste 305, Haverhill, MA 01830-6790. The office can be reached at 978-369-1113 (phone) or 978-369-0908 (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 1538885686 directly on the NPPES registry website.

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