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SHIFTING TIDES, LLC
NPI 1194965392
Psychologist - Clinical in Portage, IN

Active since February 27, 2009
6337 CENTRAL AVE, PORTAGE, IN 46368(219) 763-1499(219) 764-7025 Get Directions Write a Review

NPPES record last updated: February 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shifting Tides, Llc NPPES

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

SHIFTING TIDES, LLC (NPI 1194965392) is a healthcare organization registered as a clinical in Portage, Indiana and active in the NPI registry since February 2009. The organization lists Todd Snyder, Operating Member, as its authorized official.

NPPES Registry Identity

NPI1194965392
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSHIFTING TIDES, LLC
Location Address6337 CENTRAL AVEPortage, IN 46368-3801
Mailing Address6337 Central AvePortage, IN 46368-3801 · (219) 763-1499 · Fax (219) 764-7025
Phone(219) 763-1499
Fax(219) 764-7025
Organization SubpartNo
Authorized OfficialTodd SnyderOperating Member · (219) 763-1499
Enumeration DateFebruary 27, 2009
✔ NPI 1194965392 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 IN · 20042029A
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.
6337 CENTRAL AVE, Portage, IN 46368
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Other Identifiers 2

Medicaid200538700BIN
Medicare PIN232460IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY WALDO MS, NCC, LMHC
Counselor (Mental Health)
6337 CENTRAL AVE
PORTAGE, IN 46368
Porter County (219) 763-1499
DR. DAVID W. PARKS PSY.D.
Psychologist (Clinical)
6337 CENTRAL AVE
PORTAGE, IN 46368
Porter County (219) 763-1499
PARKS ASSOCIATES, P.C.
Psychologist (Clinical)
6337 CENTRAL AVE
PORTAGE, IN 46368
Porter County (219) 763-1499
SARA VELDHUIZEN MS, LMHC
Counselor (Mental Health)
6337 CENTRAL AVE
PORTAGE, IN 46368
Porter County (219) 763-1499

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 Shifting Tides, LLC's NPI number?

The NPI number for Shifting Tides, LLC is 1194965392. It was assigned to this organization in the NPPES registry on February 27, 2009.

Where is Shifting Tides, LLC located?

Shifting Tides, LLC is located at 6337 Central Ave, Portage, IN 46368. The listed phone number is (219) 763-1499.

What is Shifting Tides, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Shifting Tides, LLC was last updated on February 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.