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

Shoreline Psychiatry PC

Organization Addiction Medicine (Psychiatry & Neurology) Physician · NPI 1699608091

Shoreline Psychiatry PC is an Addiction Medicine (Psychiatry & Neurology) Physician in Revere, Massachusetts. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

385 Broadway Ste 203
Revere, MA 02151-3049
Phone: (443) 353-9263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Psychiatry Physician (primary) Taxonomy 2084P0802X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1699608091
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Copeli — Owner/President · (443) 353-9263
NPI enumeratedJune 4, 2026
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address49 Burnet Hill Rd, Livingston, NJ 07039-3606

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