Frank Copeli, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

276576 Issued in MA

Practice address

385 Broadway Ste 203
Revere, MA 02151-3049

Phone

(443) 353-9263

NPI assigned

Apr 8, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Shoreline Psychiatry PC

  • Addiction Psychiatry Physician
  • Revere, MA
  • NPI 1699608091

  Addiction Medicine

  NPD Authorized official

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

{
    "created_epoch": "1523145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1780181636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046819",
            "telephone_number": "443-353-9263"
        },
        {
            "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": [
        {
            "address_1": "145 W Ostend St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212303774",
            "country_code": "US",
            "telephone_number": "443-353-9263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6501 N Charles St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212046819",
            "country_code": "US",
            "telephone_number": "410-938-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "71 Washington St",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021354301",
            "country_code": "US",
            "telephone_number": "410-970-3061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPELI",
        "first_name": "FRANK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-08",
        "last_updated": "2024-04-04",
        "certification_date": "2024-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MA",
            "license": "285581",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "276576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Patrick T Co, MD
• Christine Rene Coad, RN
• Elizabeth Ventura Colburn
• Marianne Connelly, F.N.P.
• Rebecca Lynn Coots
• Pheap Cortissoz
• Craig Alfred Costanza, DMD
• Janis M Cotter, O.D.
• Philip J Cotter
• Marie Antoinette Paraiso Coughlin, RN

• Psychiatry Physician in Revere, MA
• Providers in Revere, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.