SHORE PSYCHOLOGICAL HEALTHCARE LLC
NPI 1477563534
Psychologist - Clinical in Brick, NJ

Q: What is Shore Psychological Healthcare LLC's NPI number?

The NPI number for Shore Psychological Healthcare LLC is 1477563534. It was assigned to this organization in the NPPES registry on August 9, 2006.

Q: What is Shore Psychological Healthcare LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since August 09, 2006

220 JACK MARTIN BOULVARD, SUITE E2, BRICK, NJ 08724(732) 920-3434(732) 920-2447 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 28, 2026, May 28, 2022, May 2, 2022 and 1 more (4 updates tracked since 2020).

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About Shore Psychological Healthcare Llc NPPES

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

SHORE PSYCHOLOGICAL HEALTHCARE LLC (NPI 1477563534) is a healthcare organization registered as a clinical in Brick, New Jersey and active in the NPI registry since August 2006. The organization maintains 3 additional practice locations and lists Kristine C. Keane, Director, as its authorized official.

NPPES Registry Identity

NPI1477563534

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSHORE PSYCHOLOGICAL HEALTHCARE LLC

Location Address220 JACK MARTIN BOULVARD, SUITE E2Brick, NJ 08724

Mailing Address220 Jack Martin Boulvard, Suite E2Brick, NJ 08724 · (732) 920-3434 · Fax (732) 920-2447

Phone(732) 920-3434

Fax(732) 920-2447

Organization SubpartNo

Authorized OfficialKristine C. KeaneDirector · (732) 920-3434

Enumeration DateAugust 9, 2006

Last NPPES UpdateJanuary 28, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2026

✔ NPI 1477563534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NJ · 4245

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

220 JACK MARTIN BOULVARD, Brick, NJ 08724

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Secondary Practice Locations 3

Location 158 Maple AveRed Bank, NJ 07701-1618 · Phone (732) 920-3434 · Fax (732) 920-2447

Location 21707 Atlantic Ave Ste 4Manasquan, NJ 08736-1147 · Phone (732) 920-3434

Location 3501 Iron Bridge Rd Ste 4Freehold, NJ 07728-5305 · Phone (732) 920-3434

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shore Psychological Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 19 clinicians reassign Medicare billing to Shore Psychological Healthcare LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Clinical Psychologist7

Mental Health Counselor6

Clinical Social Worker4

Marriage and Family Therapist2

Clinicians, nearest first (19)

Nina Greene, LAC

Marriage and Family Therapist

NPI 1780445080

220 JACK MARTIN BLVD
Brick, NJ 08724

(732) 920-3434

✔ PECOSSame address

Kristine Keane, PSY.D.

Clinical Psychologist

NPI 1316945942

220 JACK MARTIN BLVD STE E2
Brick, NJ 08724

(732) 920-3434

✔ PECOS✔ Accepts MedicareSame address

Carlie Manto, LPC

Mental Health Counselor

NPI 1174276745

220 JACK MARTIN BLVD
Brick, NJ 08724

(732) 920-3434

✔ PECOS✔ Accepts MedicareSame address

Noreen Raja

Clinical Psychologist

NPI 1497636617

220 JACK MARTIN BLVD # E2
Brick, NJ 08724

(732) 920-3434

✔ PECOS✔ Accepts MedicareSame address

Alison O Connor, PSYD, BCBA

Clinical Psychologist

NPI 1366736233

815 CEDARBRIDGE AVE
Lakewood, NJ 08701

(732) 363-3335

✔ PECOS✔ Accepts Medicare3.3 mi

Anna Cain, PH.D.

Clinical Psychologist

NPI 1427517036

1707 ATLANTIC AVE STE 4
Manasquan, NJ 08736

(732) 920-3434

✔ PECOS✔ Accepts Medicare4.7 mi

Jordan Policari, LCSW

Clinical Social Worker

NPI 1023965282

1707 ATLANTIC AVE STE 4
Manasquan, NJ 08736

(732) 920-3434

✔ PECOS✔ Accepts Medicare4.7 mi

Shannon Hensel, LAC

Mental Health Counselor

NPI 1043952757

14 WENDY LN
Toms River, NJ 08753

(908) 783-5058

✔ PECOS✔ Accepts Medicare8.2 mi

Brenda Foster, MA, LAC, ED.D

Mental Health Counselor

NPI 1275871899

2100 ROUTE 33 SUITE 9-10
Neptune, NJ 07753

(732) 988-3441

✔ PECOS✔ Accepts Medicare9.9 mi

Caroline Calegari

Marriage and Family Therapist

NPI 1679319727

501 IRON BRIDGE RD STE 4
Freehold, NJ 07728

(908) 510-7562

✔ PECOS✔ Accepts Medicare15 mi

Natalie Angelo

Clinical Psychologist

NPI 1750100434

501 IRON BRIDGE RD STE 4
Freehold, NJ 07728

(732) 920-3434

✔ PECOS15 mi

Kerianne Clayton, LSW

Clinical Social Worker

NPI 1437979655

501 IRON BRIDGE RD STE 4
Freehold, NJ 07728

(732) 920-3434

✔ PECOS✔ Accepts Medicare15 mi

Christine Shea, LAC

Mental Health Counselor

NPI 1518728898

501 IRON BRIDGE RD
Freehold, NJ 07728

(732) 920-3434

✔ PECOS15 mi

Brenna Sadowski, LCSW, CCTP, LCADC

Clinical Social Worker

NPI 1982386694

1075 STEPHENSON AVE UNIT C
Oceanport, NJ 07757

(848) 208-2636

✔ PECOS✔ Accepts Medicare17 mi

Gina Falcone, PHD

Clinical Psychologist

NPI 1881189074

58 MAPLE AVE
Red Bank, NJ 07701

(732) 920-3434

✔ PECOS✔ Accepts Medicare19 mi

Crystal Williams, LAC

Mental Health Counselor

NPI 1235822180

58 MAPLE AVE
Red Bank, NJ 07701

(732) 920-3434

✔ PECOS✔ Accepts Medicare19 mi

Kelsey Wetmore, LPC, LCADC

Mental Health Counselor

NPI 1841775897

270 ROUTE 35
Red Bank, NJ 07701

(732) 842-2000

✔ PECOS✔ Accepts Medicare20 mi

Nicole Peniston, PSYD

Clinical Psychologist

NPI 1154822443

3575 QUAKERBRIDGE RD
Hamilton, NJ 08619

(888) 244-5373

✔ PECOS✔ Accepts Medicare32 mi

Abbie Loughran, LMSW

Clinical Social Worker

NPI 1114216215

462 1ST AVE 6 WEST ROOM 55
New York, NY 10016

(212) 562-3645

✔ PECOS✔ Accepts Medicare46 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shore Psychological Healthcare LLC's NPI number?

The NPI number for Shore Psychological Healthcare LLC is 1477563534. It was assigned to this organization in the NPPES registry on August 9, 2006.

Where is Shore Psychological Healthcare LLC located?

Shore Psychological Healthcare LLC is located at 220 Jack Martin Boulvard Suite E2, Brick, NJ 08724. The listed phone number is (732) 920-3434.

What is Shore Psychological Healthcare LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Shore Psychological Healthcare LLC enrolled in Medicare?

Yes. Shore Psychological Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shore Psychological Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 4 Medicare specialties reassign their Medicare billing to Shore Psychological Healthcare LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Psychologist (7), Mental Health Counselor (6) and Clinical Social Worker (4). Of these, 4 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shore Psychological Healthcare LLC was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.