TIDESIDE
NPI 1275645939
Psychologist - Clinical in Ellsworth, ME

Q: What is Tideside Clinical & Psychological Services's specialty?

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

Active since August 31, 2006

64 CHURCH ST, TIDESIDE, ELLSWORTH, ME 04605(207) 669-6011(207) 669-6011 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tideside NPPES

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

TIDESIDE (NPI 1275645939) is a healthcare organization registered as a clinical in Ellsworth, Maine and active in the NPI registry since August 2006. The organization lists Kenneth A. Beattie, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1275645939

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameTIDESIDE CLINICAL & PSYCHOLOGICAL SERVICES

Location Address64 CHURCH ST, TIDESIDEEllsworth, ME 04605-1658

Mailing Address94 Mill StOrono, ME 04473-4040 · (207) 866-2636 · Fax (207) 669-6011

Phone(207) 669-6011

Fax(207) 669-6011

Organization SubpartNo

Authorized OfficialKenneth A. BeattieSole Owner · (207) 669-6011

Enumeration DateAugust 31, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1275645939 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 ME · PS1018

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.

64 CHURCH ST, Ellsworth, ME 04605

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Other Names 1

Other NameTideside

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 7

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

DR. KENNETH A. BEATTIE PH.D.

Psychologist (Clinical)

64 CHURCH ST
ELLSWORTH, ME 04605

Hancock County (207) 669-6011

DR. GEOFFREY LASCELLES THORPE PH.D.

Psychologist (Clinical)

64 CHURCH ST
ELLSWORTH, ME 04605

Hancock County (207) 667-2095

DR. SCOTT ANDREW FLAGG DR, PHD

Psychologist

64 CHURCH ST, 1A
ELLSWORTH, ME 04605

Hancock County (207) 370-9227

JEFFREY MCCARTHY LCPC

Counselor (Mental Health)

64 CHURCH ST
ELLSWORTH, ME 04605

Hancock County (207) 664-7564

SUZANNE LAWRENCE B.S. LADC

Counselor (Addiction (Substance Use Disorder))

64 CHURCH ST
ELLSWORTH, ME 04605

Hancock County (207) 667-7790

DR. MARC MYTAR PHD

Psychologist

64 CHURCH ST
ELLSWORTH, ME 04605

Hancock County (207) 667-2095

FAMILY YOUTH INTEGRATED COUNSELING, INC.

Community/Behavioral Health

64 CHURCH ST
ELLSWORTH, ME 04605

Hancock County (207) 664-7564

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 Tideside Clinical & Psychological Services's NPI number?

The NPI number for Tideside Clinical & Psychological Services is 1275645939. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is also known as Tideside.

Where is Tideside Clinical & Psychological Services located?

Tideside Clinical & Psychological Services is located at 64 Church St Tideside, Ellsworth, ME 04605. The listed phone number is (207) 669-6011.

What is Tideside Clinical & Psychological Services'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 Tideside Clinical & Psychological Services was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.