Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Main Line Mental Health LLC

Organization Psychiatry Physician · NPI 1083908388

Main Line Mental Health LLC is a Psychiatry Physician in Haverford, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2011.

Licensed in
PA
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

349 Lancaster Ave Ste 103
Haverford, PA 19041-1500
Phone: (610) 945-5259
Fax: (610) 664-7061
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD04514OL (PA)

Record details

NPI number1083908388
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Shack — Single Member Llc · (610) 945-5259
NPI enumeratedJune 3, 2011
Last updated in NPPESJune 3, 2011
Mailing address349 West Lancaster Avenue, Suite 103, Haverford, PA 19041-1500

Other providers in Haverford