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TIDALHEALTH SPECIALTY CARE, LLC
NPI 1306597570
Clinic/Center - Adult Mental Health in Salisbury, MD

Active since January 10, 2022
1639 WOODBROOKE DR, SALISBURY, MD 21804(410) 543-7475 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2023, Jan 10, 2022 (2 updates tracked since 2022).

About Tidalhealth Specialty Care, Llc NPPES

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

TIDALHEALTH SPECIALTY CARE, LLC (NPI 1306597570), doing business as Tidalhealth Behavioral Health Woodbrooke, is a healthcare organization registered as an adult mental health in Salisbury, Maryland and active in the NPI registry since January 2022. The organization lists William Pelot, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1306597570
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address1639 WOODBROOKE DRSalisbury, MD 21804
Mailing AddressPo Box 825461Philadelphia, PA 19182-5461 · (410) 912-6989
Phone(410) 543-7475
Organization SubpartNo
Authorized OfficialWilliam PelotChief Administrative Officer · (410) 543-7497
Enumeration DateJanuary 10, 2022
Last NPPES UpdateJuly 22, 20252 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1306597570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
1639 WOODBROOKE DR, Salisbury, MD 21804
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Other Names 1

Doing Business AsTidalhealth Behavioral Health Woodbrooke

Other Providers at the Same Location NPPES 8

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

TREVA STUART NP
Nurse Practitioner (Adult Health)
1639 WOODBROOKE DR
SALISBURY, MD 21804
Wicomico County (410) 912-5785
TIDALHEALTH PENINSULA REGIONAL, INC.
Family Medicine
1639 WOODBROOKE DR
SALISBURY, MD 21804
Wicomico County (410) 912-5785
TIDALHEALTH PRIMARY CARE, LLC
Family Medicine
1639 WOODBROOKE DR
SALISBURY, MD 21804
Wicomico County (410) 912-5785
TIDALHEALTH SPECIALTY CARE, LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1639 WOODBROOKE DR
SALISBURY, MD 21804
Wicomico County (410) 912-7234
UNIVERSITY OF MARYLAND PEDIATRIC ASSOCIATES, PA
Clinic/Center (Multi-Specialty)
1639 WOODBROOKE DR
SALISBURY, MD 21804
Wicomico County (410) 543-7586
MR. SALMAN ZAHOOR BHAT MBBS,MD
Internal Medicine
1639 WOODBROOKE DR
SALISBURY, MD 21804
Wicomico County (410) 572-8848
TIDALHEALTH SPECIALTY CARE, LLC
Pediatrics
1639 WOODBROOKE DR
SALISBURY, MD 21804
Wicomico County (410) 912-5785
NEIL ANJAN BASUMALLIK MD
Internal Medicine
1639 WOODBROOKE DR
SALISBURY, MD 21804
Wicomico County (410) 543-7475

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 Tidalhealth Specialty Care, LLC's NPI number?

The NPI number for Tidalhealth Specialty Care, LLC is 1306597570. It was assigned to this organization in the NPPES registry on January 10, 2022. The provider is doing business as TidalHealth Behavioral Health Woodbrooke.

Where is Tidalhealth Specialty Care, LLC located?

Tidalhealth Specialty Care, LLC is located at 1639 Woodbrooke Dr, Salisbury, MD 21804. The listed phone number is (410) 543-7475.

What is Tidalhealth Specialty Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Tidalhealth Specialty Care, LLC was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.