Active NPI
Shoreline Psychiatry PC
- Addiction Psychiatry Physician
- Revere, MA
National Provider Identifier
1699608091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- Legal business name
- SHORELINE PSYCHIATRY PC
- Practice address
- 385 Broadway Ste 203
Revere, MA 02151-3049 - Phone
- (443) 353-9263
- NPI assigned
- Jun 4, 2026
- Last updated
- Jun 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank Michael Copeli, MD
- Title
- Owner/President
- Phone
- (443) 353-9263
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | |||
| Psychiatry Physician | 2084P0800X | |||
| Addiction Psychiatry Physician | 2084P0802X | Primary |
Addresses
Primary practice location
385 Broadway Ste 203
Revere, MA 02151-3049
Mailing address
49 Burnet Hill Rd
Livingston, NJ 07039-3606
Phone (443) 353-9263
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780531200000",
"number": "1699608091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 BURNET HILL RD",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070393606",
"telephone_number": "443-353-9263",
"fax_number": "601-429-1356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 BROADWAY STE 203",
"city": "REVERE",
"state": "MA",
"postal_code": "021513049",
"telephone_number": "443-353-9263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHORELINE PSYCHIATRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-04",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A",
"authorized_official_last_name": "COPELI",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "443-353-9263",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Revere, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.