TIDAL NEUROPSYCHOLOGY PLLC
NPI 1871999565
Clinical Neuropsychologist in Hampstead, NC

Active since November 07, 2014
19 S HAMPSTEAD VILLAGE DR, HAMPSTEAD, NC 28443(910) 803-1434(855) 672-7002 Get Directions Write a Review

NPPES record last updated: November 7, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tidal Neuropsychology Pllc NPPES

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

TIDAL NEUROPSYCHOLOGY PLLC (NPI 1871999565) is a healthcare organization registered as a clinical neuropsychologist in Hampstead, North Carolina and active in the NPI registry since November 2014. The organization lists Griffin Pollock Sutton, Owner, Member, as its authorized official.

NPPES Registry Identity

NPI1871999565
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameTIDAL NEUROPSYCHOLOGY PLLC
Location Address19 S HAMPSTEAD VILLAGE DRHampstead, NC 28443-3934
Mailing AddressPo Box 970Hampstead, NC 28443-0970 · (910) 803-1434 · Fax (855) 672-7002
Fax(855) 672-7002
Organization SubpartNo
Authorized OfficialGriffin Pollock SuttonOwner, Member · (910) 803-1434
Enumeration DateNovember 7, 2014
NPI 1871999565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in NC · 4633
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 4633 (NC)
19 S HAMPSTEAD VILLAGE DR, Hampstead, NC 28443

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

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

Clinical Neuropsychologist
19 S HAMPSTEAD VILLAGE DR
HAMPSTEAD, NC 28443

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 Tidal Neuropsychology PLLC's NPI number?

The NPI number for Tidal Neuropsychology PLLC is 1871999565. It was assigned to this organization in the NPPES registry on November 7, 2014.

Where is Tidal Neuropsychology PLLC located?

Tidal Neuropsychology PLLC is located at 19 S Hampstead Village Dr, Hampstead, NC 28443. The listed phone number is (910) 803-1434.

What is Tidal Neuropsychology PLLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Tidal Neuropsychology PLLC was last updated on November 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.