CHANGING TIDES BEHAVIORAL HEALTH CARE LLC
NPI 1669202719
Nurse Practitioner - Psychiatric/Mental Health in Westford, MA

Q: What is Changing Tides Behavioral Health Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since August 05, 2024

12 STRAWBERRY LN, WESTFORD, MA 01886(978) 273-6284 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 11, 2024, Aug 5, 2024 (2 updates tracked since 2024).

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About Changing Tides Behavioral Health Care Llc NPPES

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

CHANGING TIDES BEHAVIORAL HEALTH CARE LLC (NPI 1669202719) is a healthcare organization registered as a psychiatric/mental health in Westford, Massachusetts and active in the NPI registry since August 2024. The organization lists Susan Lyons, Pmhnp / Owner, as its authorized official.

NPPES Registry Identity

NPI1669202719

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameCHANGING TIDES BEHAVIORAL HEALTH CARE LLC

Location Address12 STRAWBERRY LNWestford, MA 01886-1972

Mailing Address12 Strawberry LnWestford, MA 01886-1972 · (978) 273-6284

Phone(978) 273-6284

Organization SubpartNo

Authorized OfficialSusan LyonsPmhnp / Owner · (978) 273-6284

Enumeration DateAugust 5, 2024

Last NPPES UpdateOctober 11, 20242 updates tracked since enumeration

NPPES CertifiedOctober 11, 2024

✔ NPI 1669202719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

12 STRAWBERRY LN, Westford, MA 01886

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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 Changing Tides Behavioral Health Care LLC's NPI number?

The NPI number for Changing Tides Behavioral Health Care LLC is 1669202719. It was assigned to this organization in the NPPES registry on August 5, 2024.

Where is Changing Tides Behavioral Health Care LLC located?

Changing Tides Behavioral Health Care LLC is located at 12 Strawberry Ln, Westford, MA 01886. The listed phone number is (978) 273-6284.

What is Changing Tides Behavioral Health Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Changing Tides Behavioral Health Care LLC was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.