Individual provider Active NPI

Shaheen Nicole Ganem, PMHNP-BC, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Scarborough, ME
National Provider Identifier
1447148671
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP251630 Issued in ME
Practice address
15 Pleasant Hill Rd
Scarborough, ME 04074-9688
Phone
(207) 813-7938
Fax
(207) 656-6243
NPI assigned
Jun 26, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X EL33116 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP251630 ME Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN78942 ME

Addresses

Primary practice location

15 Pleasant Hill Rd
Scarborough, ME 04074-9688

Mailing address

202 Main St
Salem, NH 03079-3170
Phone (272) 268-5794

Other practice location 1

70 Butler St
Salem, NH 03079-3974
Phone (603) 893-2900

Other practice location 2

1 Constellation Way Ste 101
Falmouth, ME 04105-2256
Phone (207) 956-5977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251021003761 ME Practitioner - Nurse Practitioner 7618465725 Reassigns benefits to 1 organization
I20251023003685 NH Practitioner - Nurse Practitioner 7618465725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stonycreek Psychotherapy and Wellness LLCGroup PAC ID 4688027170, 3 clinicians
NRHN Rehab Physician Services, IncGroup PAC ID 2466687165, 21 clinicians

Practice addresses (Care Compare)

1 Constellation Way
Suite 101
Falmouth, ME 04105-2256
Phone (207) 956-5977

105 Corporate Dr
Portsmouth, NH 03801-3212

105 Corporate Dr
Portsmouth, NH 03801-6825
Phone (603) 501-5584

202 Main St
Suite 103
Salem, NH 03079-3170
Phone (207) 956-5977

70 Butler St
Salem, NH 03079-3925
Phone (603) 501-5584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN78942MEMDPsychiatric/Mental Health Registered Nurse
CNP251630MEMDPsychiatric/Mental Health Nurse Practitioner
EL33116NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stonycreek Psychotherapy and Wellness LLC CurrentSince Oct 13, 2025 Accepting new patients
Coastal Collaborative Psychiatry, LLC Psychiatric/Mental Health Current Accepting new patients
NRHN Rehab Physician Services, Inc CurrentSince Oct 31, 2025 Accepting new patients

Locations

1 Constellation Way
Ste 101
Falmouth, ME 04105
Phone (207) 707-5177

15 Pleasant Hill Rd
Scarborough, ME 04074
Phone (207) 200-8492

260 Western Ave
Ste 202
South Portland, ME 04106
Phone (207) 956-5977

105 Corporate Dr
Portsmouth, NH 03801
Phone (603) 501-5500

202 Main St
Ste 103
Salem, NH 03079
Phone (207) 956-5977

70 Butler St
Salem, NH 03079
Phone (603) 893-2900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6076/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1447148671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MAIN ST",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793170",
            "telephone_number": "272-268-5794",
            "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": [
        {
            "address_1": "70 Butler St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030793974",
            "country_code": "US",
            "telephone_number": "603-893-2900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Constellation Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Falmouth",
            "state": "ME",
            "postal_code": "041052256",
            "country_code": "US",
            "telephone_number": "207-956-5977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANEM",
        "first_name": "SHAHEEN",
        "middle_name": "NICOLE",
        "credential": "PMHNP-BC, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-26",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "EL33116",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP251630",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "ME",
            "license": "RN78942",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.