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TIDALHEALTH SPECIALTY CARE, LLC
NPI 1720940869
Psychiatry & Neurology - Neurology in Berlin, MD

Active since November 26, 2025
9714 HEALTHWAY DR, BERLIN, MD 21811(410) 641-4765 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tidalhealth Specialty Care, Llc NPPES

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

TIDALHEALTH SPECIALTY CARE, LLC (NPI 1720940869) is a healthcare organization registered as a neurology in Berlin, Maryland and active in the NPI registry since November 2025. The organization lists Sloan Trammell, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1720940869
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address9714 HEALTHWAY DRBerlin, MD 21811-1154
Mailing AddressPo Box 825461Philadelphia, PA 19182-5461
Phone(410) 641-4765
Organization SubpartNo
Authorized OfficialSloan TrammellCredentialing Manager · (410) 912-6989
Enumeration DateNovember 26, 2025
NPPES CertifiedNovember 26, 2025
✔ NPI 1720940869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
9714 HEALTHWAY DR, Berlin, MD 21811
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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

Other Providers at the Same Location NPPES 20

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

ATLANTIC GENERAL HOSPITAL CORP
Clinic/Center (Multi-Specialty)
9714 HEALTHWAY DR
BERLIN, MD 21811
Worcester County (410) 641-3340
VANESSA SPARTA P.A.
Physician Assistant
9714 HEALTHWAY DR
BERLIN, MD 21811
Worcester County (410) 641-3340
EMILY GOODCHILD LCSW-C
Social Worker (Clinical)
9714 HEALTHWAY DR
BERLIN, MD 21811
Worcester County (410) 641-3340
DEBORAH DAVIS CRNP
Nurse Practitioner (Pediatrics)
9714 HEALTHWAY DR
BERLIN, MD 21811
Worcester County (410) 641-4430
ATLANTIC GENERAL HOSPITAL CORPORATION
Social Worker (Clinical)
9714 HEALTHWAY DR
BERLIN, MD 21811
Worcester County (410) 641-3340
THREE LOWER COUNTIES COMMUNITY SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
9714 HEALTHWAY DR
BERLIN, MD 21811
Worcester County (410) 641-3340
SHERRI L. PASSARELL M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
9714 HEALTHWAY DR
BERLIN, MD 21811
Worcester County (410) 641-3340
MS. SHARON LYNN NAYFACK LCSW-C
Social Worker (Clinical)
9714 HEALTHWAY DR
BERLIN, MD 21811
Worcester County (410) 641-3340

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 1720940869. It was assigned to this organization in the NPPES registry on November 26, 2025.

Where is Tidalhealth Specialty Care, LLC located?

Tidalhealth Specialty Care, LLC is located at 9714 Healthway Dr, Berlin, MD 21811. The listed phone number is (410) 641-4765.

What is Tidalhealth Specialty Care, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Tidalhealth Specialty Care, LLC was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.