# SHORELINE NEUROPSYCHIATRIC SERVICES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124569157
- **Authorized official:** DR. BRUCE JAMIE STEVENS PMHNP (OWNER)
- **Authorized official phone:** (203) 693-1510

## Contact information

- **Practice address:** 99 WHITFIELD ST, GUILFORD, CT 06437-3429
- **Practice address phone:** (203) 244-3443
- **Practice address fax:** (860) 261-0669
- **Mailing address:** 6209 KNIGHTSGATE CT, CHARLOTTE, NC 28269-0603
- **Mailing address phone:** (203) 693-1510
- **Mailing address fax:** (938) 253-3590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 12.004567 | CT | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |

## Other

- **Enumeration date:** 03/09/2017
- **Last updated:** 01/13/2025