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TIDEHAVEN HEALTH
NPI 1679930184
Psychiatry & Neurology - Child & Adolescent Psychiatry in Mount Pleasant, SC

Active since January 28, 2016
519 LIVE OAK DR, MOUNT PLEASANT, SC 29464(843) 971-8808(843) 971-9636 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2022, Jan 28, 2016 (2 updates tracked since 2016).

About Tidehaven Health NPPES

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

TIDEHAVEN HEALTH (NPI 1679930184) is a healthcare organization registered as a child & adolescent psychiatry in Mount Pleasant, South Carolina and active in the NPI registry since January 2016. The organization lists Elizabeth C Grueneberger, Owner, as its authorized official.

NPPES Registry Identity

NPI1679930184
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameELIZABETH C. GRUENEBERGER
Location Address519 LIVE OAK DRMount Pleasant, SC 29464-4365
Mailing Address519 Live Oak DrMount Pleasant, SC 29464-4365 · (843) 971-8808 · Fax (843) 971-9636
Phone(843) 971-8808
Fax(843) 971-9636
Organization SubpartNo
Authorized OfficialElizabeth C GruenebergerOwner · (843) 971-8808
Enumeration DateJanuary 28, 2016
Last NPPES UpdateMay 5, 20222 updates tracked since enumeration
NPPES CertifiedMay 5, 2022
✔ NPI 1679930184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License 31920 (SC)
519 LIVE OAK DR, Mount Pleasant, SC 29464
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Other Names 1

Doing Business AsTidehaven Health

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

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

OAK POINT PSYCHIATRY, LLC
Psychiatry & Neurology (Child & Adolescent Psychiatry)
519 LIVE OAK DR
MOUNT PLEASANT, SC 29464
Charleston County (843) 971-8808

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 Elizabeth C. Grueneberger's NPI number?

The NPI number for Elizabeth C. Grueneberger is 1679930184. It was assigned to this organization in the NPPES registry on January 28, 2016. The provider is doing business as Tidehaven Health.

Where is Elizabeth C. Grueneberger located?

Elizabeth C. Grueneberger is located at 519 Live Oak Dr, Mount Pleasant, SC 29464. The listed phone number is (843) 971-8808.

What is Elizabeth C. Grueneberger's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Elizabeth C. Grueneberger was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.