Organization Active NPI

Seaside Psych PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Northborough, MA
National Provider Identifier
1821958463
Registry record updated Dec 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SEASIDE PSYCH PLLC
Practice address
44 Bearfoot Rd
Suite 200, Office # 242
Northborough, MA 01532-1559
Phone
(508) 918-5160
Fax
(508) 841-3677
NPI assigned
Nov 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2025

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

Authorized official

Name
Ms. Melanie Kelley, PMHNP-BC
Title
Practice Owner
Phone
(508) 918-5160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

44 Bearfoot Rd
Suite 200, Office # 242
Northborough, MA 01532-1559

Mailing address

44 Bearfoot Rd
Suite 200, Office # 242
Northborough, MA 01532-1559
Phone (508) 918-5160

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765584000000",
    "number": "1821958463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BEARFOOT RD",
            "address_2": "SUITE 200, OFFICE # 242",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321559",
            "telephone_number": "508-918-5160",
            "fax_number": "508-841-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BEARFOOT RD",
            "address_2": "SUITE 200, OFFICE # 242",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321559",
            "telephone_number": "508-918-5160",
            "fax_number": "508-841-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE PSYCH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-12-13",
        "certification_date": "2025-12-13",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "508-918-5160",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "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": []
}

Other providers in Northborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2025; 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.