Organization · Type 2 NPI
Shoreline Psychiatry PC
Addiction Psychiatry Physician · Revere, MA
NPI number
1699608091
Active
Practice location
385 Broadway Ste 203
Revere, MA 02151-3049
Mailing address
49 Burnet Hill Rd
Livingston, NJ 07039-3606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Addiction Psychiatry Physician Primary | 2084P0802X | None listed |
Addiction Psychiatry Physician: Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
3 other providers at this address
About NPI 1699608091
Shoreline Psychiatry PC's National Provider Identifier is 1699608091, issued on Jun 4, 2026. The primary taxonomy on file is Addiction Psychiatry Physician (2084P0802X), and the practice location is in Revere, MA. The record was last updated on Jun 4, 2026.