# SHORE PINE PSYCHIATRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shore Pine Psychiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962360529
- **Authorized official:** MRS. MELISSA KAELI PMHNP (CO-OWNER)
- **Authorized official phone:** (774) 239-8445

## Contact information

- **Practice address:** 35 SOUTH ST UNIT 1, JAMAICA PLAIN, MA 02130-3112
- **Practice address phone:** (774) 239-8445
- **Mailing address:** 35 SOUTH ST UNIT 1, JAMAICA PLAIN, MA 02130-3112

## Taxonomy

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

## Other

- **Enumeration date:** 01/13/2026
- **Last updated:** 01/13/2026
