Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Main Line Mental Health LLC

Organization Psychiatry Physician · NPI 1083908388

Main Line Mental Health LLC provides Psychiatry Physician services in Haverford, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2011.

Licensed in
PA
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

349 Lancaster Ave Ste 103
Haverford, PA 19041-1500 Not confirmed with CMS for 15 years — call before visiting
Phone: (610) 945-5259
Fax: (610) 664-7061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD04514OL (PA)

Record details

NPI number1083908388
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Shack — Single Member Llc · (610) 945-5259
NPI enumeratedJune 3, 2011
Last updated in NPPESJune 3, 2011
Mailing address349 West Lancaster Avenue, Suite 103, Haverford, PA 19041-1500

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