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MAIN LINE MENTAL HEALTH LLC
NPI 1083908388
Psychiatry & Neurology - Psychiatry in Haverford, PA

Active since June 03, 2011
349 LANCASTER AVE, SUITE 103, HAVERFORD, PA 19041(610) 945-5259(610) 664-7061 Get Directions Write a Review

NPPES record last updated: June 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Main Line Mental Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAIN LINE MENTAL HEALTH LLC (NPI 1083908388) is a healthcare organization registered as a psychiatry in Haverford, Pennsylvania and active in the NPI registry since June 2011. The organization lists Jonathan Gershon Shack, Single Member Llc, as its authorized official.

NPPES Registry Identity

NPI1083908388
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameMAIN LINE MENTAL HEALTH LLC
Location Address349 LANCASTER AVE, SUITE 103Haverford, PA 19041-1500
Mailing Address349 West Lancaster Avenue, Suite 103Haverford, PA 19041-1500 · (610) 945-5259 · Fax (610) 664-7061
Phone(610) 945-5259
Fax(610) 664-7061
Organization SubpartNo
Authorized OfficialJonathan Gershon ShackSingle Member Llc · (610) 945-5259
Enumeration DateJune 3, 2011
✔ NPI 1083908388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · MD04514OL
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
349 LANCASTER AVE, Haverford, PA 19041
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID A REILLY D.M.D.
Dentist (Prosthodontics)
349 LANCASTER AVE, SUITE 100
HAVERFORD, PA 19041
Delaware County (610) 642-2669
DR. KATHERINE REED M.D.
Psychiatry & Neurology (Psychiatry)
349 LANCASTER AVE
HAVERFORD, PA 19041
Delaware County (610) 896-7716
DR. ELIZABETH F KLEBER PHD
Psychologist (Clinical)
349 LANCASTER AVE, SUITE 208
HAVERFORD, PA 19041
Delaware County (610) 642-2056
DR. BARBARA ZIMMERMAN-SLOVAK PHD PSYCHOLOGIST
Psychologist
349 LANCASTER AVE, SUITE 104
HAVERFORD, PA 19041
Delaware County (610) 896-7228
MS. ANNARITA GENTILE MSS
Social Worker (Clinical)
349 LANCASTER AVE, SUITE 200
HAVERFORD, PA 19041
Delaware County (610) 645-5442
DAVID A. REILLY, D.M.D., P.C.
Dentist (Prosthodontics)
349 LANCASTER AVE, SUITE 100
HAVERFORD, PA 19041
Delaware County (610) 642-2669
BARBARA ZIMMERMAN-SLOVAK
Psychologist (Clinical)
349 LANCASTER AVE, STE 104
HAVERFORD, PA 19041
Delaware County (610) 896-7228
OXYCARE INC.
Pharmacy
349 LANCASTER AVE
HAVERFORD, PA 19041
Delaware County (610) 658-0800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Main Line Mental Health LLC's NPI number?

The NPI number for Main Line Mental Health LLC is 1083908388. It was assigned to this organization in the NPPES registry on June 3, 2011.

Where is Main Line Mental Health LLC located?

Main Line Mental Health LLC is located at 349 Lancaster Ave Suite 103, Haverford, PA 19041. The listed phone number is (610) 945-5259.

What is Main Line Mental Health LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Main Line Mental Health LLC was last updated on June 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.