OrganizationActive
Main Line Mental Health LLC
NPI 1083908388 · Psychiatry Physician · Haverford, PA
Main Line Mental Health LLC is a Psychiatry Physician organization in Haverford, PA (NPI 1083908388).
Provider details
- NPI number
- 1083908388
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jonathan Shack, Single Member LLC(610) 945-5259
- License
- MD04514OL (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
349 Lancaster Ave
Suite 103
Haverford, PA 19041-1500
Phone: (610) 945-5259
Fax: (610) 664-7061
Street-level locationGet directions
Mailing address
349 West Lancaster Avenue
Haverford, PA 19041-1500
Registry dates
- Enumerated
- 2011-06-03
- Last updated
- 2011-06-03
Frequently asked questions
- What is Main Line Mental Health LLC's NPI number?
- Main Line Mental Health LLC's National Provider Identifier (NPI) is 1083908388, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Line Mental Health LLC?
- Main Line Mental Health LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Main Line Mental Health LLC located?
- Main Line Mental Health LLC's practice location on file with NPPES is 349 Lancaster Ave, Haverford, PA 19041-1500.
- What is Main Line Mental Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Main Line Mental Health LLC is (610) 945-5259.
- Who is the authorized official for Main Line Mental Health LLC?
- The authorized official listed on Main Line Mental Health LLC's NPPES record is Jonathan Shack, Single Member LLC. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Line Mental Health LLC's NPI active?
- Yes — Main Line Mental Health LLC's NPI (1083908388) is active in the NPPES registry as of the last update on 2011-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.