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TIDALHEALTH SPECIALTY CARE, LLC
NPI 1578224929
Clinic/Center - Adult Mental Health in Berlin, MD

Active since January 07, 2022
11101 CATHAGE RD, UNIT 102, BERLIN, MD 21811(410) 912-6104 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2023, Jan 7, 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 1578224929), doing business as Tidalhealth Behavioral Health Ocean Pines, is a healthcare organization registered as an adult mental health in Berlin, 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

NPI1578224929
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address11101 CATHAGE RD, UNIT 102Berlin, MD 21811-2115
Mailing AddressP.o. Box 825461Philadelphia, PA 19182 · (410) 912-6989
Phone(410) 912-6104
Organization SubpartNo
Authorized OfficialWilliam PelotChief Administrative Officer · (410) 543-7497
Enumeration DateJanuary 7, 2022
Last NPPES UpdateJuly 22, 20252 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1578224929 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
11101 CATHAGE RD, Berlin, MD 21811
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Other Names 1

Doing Business AsTidalhealth Behavioral Health Ocean Pines

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.

SHARON HARTMAN R.PH
Pharmacist
11101 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 543-4769
DR. JORDAN PEARSON BRANIFF FNP-C
Nurse Practitioner (Family)
11101 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 912-6104
DR. BRYCE EDWARD BLANTON MD
Psychiatry & Neurology (Psychiatry)
11101 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 543-7119
MAIREN L BAUNHOFER NP
Nurse Practitioner (Family)
11101 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 912-6104
KRISTEN RENEE ABBOTT CRNP
Nurse Practitioner (Family)
11101 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 912-6104
HEATHER KOHLI-WERNER PA-C
Physician Assistant
11101 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 912-6104
TIDALHEALTH PENINSULA REGIONAL, INC.
Pharmacy (Community/Retail Pharmacy)
11101 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 543-4769
DR. TAMMY LYNN DONOWAY D.O.
Family Medicine
11101 CATHAGE RD
BERLIN, MD 21811
Worcester County (910) 907-6000

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 1578224929. It was assigned to this organization in the NPPES registry on January 7, 2022. The provider is doing business as TidalHealth Behavioral Health Ocean Pines.

Where is Tidalhealth Specialty Care, LLC located?

Tidalhealth Specialty Care, LLC is located at 11101 Cathage Rd Unit 102, Berlin, MD 21811. The listed phone number is (410) 912-6104.

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.