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TIDEMARK BEHAVIORAL HEALTH
NPI 1164051025
Counselor - Mental Health in West Chester, PA

Active since April 03, 2020
1272 DELMAR AVE, WEST CHESTER, PA 19380(484) 432-7882 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tidemark Behavioral Health NPPES

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

TIDEMARK BEHAVIORAL HEALTH (NPI 1164051025) is a healthcare organization registered as a mental health in West Chester, Pennsylvania and active in the NPI registry since April 2020. The organization lists Ryne Laxton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164051025
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameTIDEMARK BEHAVIORAL HEALTH
Location Address1272 DELMAR AVEWest Chester, PA 19380-4027
Mailing Address13 Ryan Frost WayEssex, MD 21221-1646 · (484) 432-7882
Phone(484) 432-7882
Organization SubpartNo
Authorized OfficialRyne LaxtonCeo · (484) 432-7882
Enumeration DateApril 3, 2020
NPPES CertifiedApril 3, 2020
✔ NPI 1164051025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1272 DELMAR AVE, West Chester, PA 19380
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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

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 Tidemark Behavioral Health's NPI number?

The NPI number for Tidemark Behavioral Health is 1164051025. It was assigned to this organization in the NPPES registry on April 3, 2020.

Where is Tidemark Behavioral Health located?

Tidemark Behavioral Health is located at 1272 Delmar Ave, West Chester, PA 19380. The listed phone number is (484) 432-7882.

What is Tidemark Behavioral Health's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tidemark Behavioral Health was last updated on April 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.