Organization Active NPI

Shore Pine Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jamaica Plain, MA
National Provider Identifier
1962360529
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SHORE PINE PSYCHIATRY, PLLC
Doing business as
Shore Pine Psychiatry
Practice address
35 South St Unit 1
Jamaica Plain, MA 02130-3112
Phone
(774) 239-8445
NPI assigned
Jan 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Mrs. Melissa Kaeli, PMHNPNPI 1386050458
Title
Co-Owner
Phone
(774) 239-8445

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 1

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

Addresses

Primary practice location

35 South St Unit 1
Jamaica Plain, MA 02130-3112

Mailing address

35 South St Unit 1
Jamaica Plain, MA 02130-3112

Other names 1

  • Shore Pine Psychiatry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1962360529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SOUTH ST UNIT 1",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SOUTH ST UNIT 1",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303112",
            "telephone_number": "774-239-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE PINE PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "KAELI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "774-239-8445",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP"
    },
    "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": [
        {
            "organization_name": "Shore Pine Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica Plain, MA

Sources for this page

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