EBB TIDE TREATMENT LLC
NPI 1699135186
Clinic/Center - Adult Mental Health in West Palm Beach, FL

Active since February 26, 2016CLIA 10D2110099 · Waiver
5737 CORPORATE WAY, WEST PALM BEACH, FL 33407(561) 508-8330 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2026, Dec 7, 2023, Jun 21, 2019 and 2 more (5 updates tracked since 2016).

About Ebb Tide Treatment Llc NPPES

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

EBB TIDE TREATMENT LLC (NPI 1699135186), doing business as Ebb Tide Treatment Centers, is a healthcare organization registered as an adult mental health in West Palm Beach, Florida and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through March 7, 2028 and lists Joseph Kilkenny Donovan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699135186
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameEBB TIDE TREATMENT LLC
Location Address5737 CORPORATE WAYWest Palm Beach, FL 33407-2003
Mailing Address5737 Corporate WayWest Palm Beach, FL 33407-2003 · (561) 508-8330
Organization SubpartNo
Authorized OfficialJoseph Kilkenny DonovanCeo · (561) 508-8330
Enumeration DateFebruary 26, 2016
Last NPPES UpdateFebruary 6, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
NPI 1699135186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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 ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
5737 CORPORATE WAY, West Palm Beach, FL 33407

Other Names 1

Doing Business AsEbb Tide Treatment Centers

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2110099

Ebb Tide Treatment, LLC · West Palm Beach, FL
Active · expires Mar 7, 2028
CLIA Number10D2110099
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateMarch 8, 2026
Certificate Expiration DateMarch 7, 2028
Laboratory DirectorDr. Emillo Maniero-Atienza
Laboratory Phone(561) 508-8330
Laboratory LocationEbb Tide Treatment, LLC5737 Corporate Way, West Palm Beach, FL 33407
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ebb Tide Treatment LLC's NPI number?

The NPI number for Ebb Tide Treatment LLC is 1699135186. It was assigned to this organization in the NPPES registry on February 26, 2016. The provider is doing business as Ebb Tide Treatment Centers.

Where is Ebb Tide Treatment LLC located?

Ebb Tide Treatment LLC is located at 5737 Corporate Way, West Palm Beach, FL 33407. The listed phone number is (561) 508-8330.

What is Ebb Tide Treatment LLC's specialty?

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

Does Ebb Tide Treatment LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2110099) is associated with this NPI, valid through March 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ebb Tide Treatment LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Ebb Tide Treatment LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ebb Tide Treatment LLC was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.