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TIDALHEALTH SPECIALTY CARE, LLC
NPI 1962027094
Clinic/Center - Adult Mental Health in Salisbury, MD

Active since June 15, 2020
200 E VINE ST, SALISBURY, MD 21804(410) 543-7119 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2023, Sep 14, 2021, Jun 15, 2020 (3 updates tracked since 2020).

About Tidalhealth Specialty Care, Llc NPPES

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

TIDALHEALTH SPECIALTY CARE, LLC (NPI 1962027094) is a healthcare organization registered as an adult mental health in Salisbury, Maryland and active in the NPI registry since June 2020. The organization lists William Pelot, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1962027094
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address200 E VINE STSalisbury, MD 21804-5531
Mailing AddressPo Box 2498Salisbury, MD 21802-2498 · (410) 912-4976
Phone(410) 543-7119
Organization SubpartYes
Authorized OfficialWilliam PelotChief Administrative Officer · (410) 543-7497
Enumeration DateJune 15, 2020
Last NPPES UpdateJuly 22, 20253 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1962027094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
200 E VINE ST, Salisbury, MD 21804
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Other Names 1

Other NameTidalhealth Behavioral Health

Other Providers at the Same Location NPPES 13

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

ERIC BIN LIAO M.D.
Psychiatry & Neurology (Psychiatry)
200 E VINE ST
SALISBURY, MD 21804
Wicomico County (410) 912-5710
DEMETRA DENISE COPELAND
Counselor (Mental Health)
200 E VINE ST
SALISBURY, MD 21804
Wicomico County (410) 543-7181
EMMA FAYE SYBERT RDN, LD
Dietitian, Registered
200 E VINE ST
SALISBURY, MD 21804
Wicomico County (443) 987-2230
MRS. JENNA LEIGH DUONG FNP-C
Nurse Practitioner (Family)
200 E VINE ST
SALISBURY, MD 21804
Wicomico County (443) 513-2753
ETHAN MICHAEL YERGER RD
Dietitian, Registered
200 E VINE ST
SALISBURY, MD 21804
Wicomico County (443) 358-6445
JENNIFER JOY GEORGE RDN
Dietitian, Registered (Nutrition, Obesity and Weight Management)
200 E VINE ST
SALISBURY, MD 21804
Wicomico County (443) 358-6445
SHANDA R WARD
Counselor (Professional)
200 E VINE ST
SALISBURY, MD 21804
Wicomico County (410) 543-7119
NAOMI WITHERSPOON LMSW
Social Worker
200 E VINE ST
SALISBURY, MD 21804
Wicomico County (410) 543-7181

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 1962027094. It was assigned to this organization in the NPPES registry on June 15, 2020. The provider is also known as TidalHealth Behavioral Health.

Where is Tidalhealth Specialty Care, LLC located?

Tidalhealth Specialty Care, LLC is located at 200 E Vine St, Salisbury, MD 21804. The listed phone number is (410) 543-7119.

What is Tidalhealth Specialty Care, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Tidalhealth Specialty Care, LLC was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.