Coastal Collaborative Psychiatry, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

COASTAL COLLABORATIVE PSYCHIATRY, LLC

Practice address

15 Pleasant Hill Rd
Scarborough, ME 04074-9688

Phone

(207) 813-7938

Fax

(207) 656-6243

NPI assigned

May 4, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shaheen Ganem, APRN, PMHNP-BCNPI 1447148671

Title

Owner, Aprn

Phone

(272) 268-5794

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shaheen Nicole Ganem, PMHNP-BC, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Scarborough, ME
  • NPI 1447148671
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1003753278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PLEASANT HILL RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749688",
            "telephone_number": "207-813-7938",
            "fax_number": "207-656-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PLEASANT HILL RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749688",
            "telephone_number": "207-813-7938",
            "fax_number": "207-656-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL COLLABORATIVE PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "GANEM",
        "authorized_official_first_name": "SHAHEEN",
        "authorized_official_title_or_position": "OWNER, APRN",
        "authorized_official_telephone_number": "272-268-5794",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Clark
• Craig Y Clark, RN
• Kate Lynn Matthews Clark, LCPC-C
• Sheri R. Clark, FNP
• Gail Elizabeth Clinton, MD
• Coastal Maine Oral & Maxillofacial Surgery PA
• Coastal Maine Oral & Maxillofacial Surgery, PA
• Coastal Women'S Healthcare
• Samuel Tristram Coffin, M.D.
• Helen Mary Cohen, WHNP

• Psychiatric/Mental Health Nurse Practitioner in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.