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Organization
SHORE PINE PSYCHIATRY, PLLC
Active
Organization
SHORE PINE PSYCHIATRY, PLLC
Active
Other names
Shore Pine Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA KAELI PMHNP (CO-OWNER)
(774) 239-8445
Entity
Organization
Contact information
Practice address
35 SOUTH ST UNIT 1, JAMAICA PLAIN, MA 02130-3112
(774) 239-8445
Mailing address
35 SOUTH ST UNIT 1, JAMAICA PLAIN, MA 02130-3112
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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