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General NPI Number Information
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NPI Number | 1821958463
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Entity Type | Organization
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Legal Business Name | SEASIDE PSYCH PLLC
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 44 BEARFOOT RD SUITE 200, OFFICE # 238
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City | NORTHBOROUGH
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State | MA
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Zip | 01532-1559
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Country | US
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Telephone | 508-918-5160
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Fax | 508-841-3677
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Provider Business Mailing Address
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Address Line | 44 BEARFOOT RD SUITE 200, OFFICE # 238
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City | NORTHBOROUGH
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State | MA
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Zip | 01532-1559
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Country | US
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Telephone | 508-918-5160
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Fax | 508-841-3677
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | MS. MELANIE KELLEY
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Credential | PMHNP-BC
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Telephone | 508-918-5160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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