TIDAL MENTAL HEALTH (NPI# 1427542562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427542562 |
| Entity Type | Organization |
| Organization Name | TIDAL MENTAL HEALTH |
| Practice Address |
80 Washington St Ste C17 Norwell MA 02061-1729 |
| Mailing Address |
56 N Truro St Hull MA 02045-3021 |
| Practice Telephone | 7819520153 |
| Mailing Telephone | 7819520153 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | SARAH SMIGLIANI (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Telephone | 7819520153 |
| Authorized Official Credential | PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
RN2265922 | MA | Ambulatory Health Care Facilities |
| Street Address |
80 WASHINGTON ST STE C17 |
| City | NORWELL |
| State | MA |
| Zip Code | 02061-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154496586 | Jeffrey Mark Bossio | Social Worker | 80 Washington St Ste C17, Norwell, MA 02061-1729 | 2006-11-21 |
| 1164901930 | Rachel Follis | Counselor | 80 Washington St Ste C17, Norwell, MA 02061-1729 | 2018-08-12 |
| 1093209769 | Salerno Psychotherapy LLC | Social Worker | 80 Washington St Ste C17, Norwell, MA 02061-1729 | 2018-06-18 |
| 1033611520 | Shine Counseling and Wellness, LLC | Community/Behavioral Health | 80 Washington St Ste C17, Norwell, MA 02061-1729 | 2018-03-01 |
| 1518341999 | Melissa Dzen, Lmhc, LLC | Community/Behavioral Health | 80 Washington St Ste C17, Norwell, MA 02061-1729 | 2015-07-15 |
| 1497911507 | Renee Reilly Gambell | Social Worker | 80 Washington St Ste C17, Norwell, MA 02061-1729 | 2008-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561113 | Adaptive Design for Living, LLC | Occupational Therapist | 53 Cushing Hill Road, Norwell, MA 02061 | 2020-02-28 |
| 1578116471 | Alyssa Beth Matthews | Behavior Technician | Proven Behavioral Solutions, 80 Washington Street Building P55, Norwell, MA 02061 | 2019-07-19 |
| 1225524986 | John Michael Mullen | Counselor | 384 Washington Street, Norwell, MA 02061 | 2018-07-06 |
| 1669973947 | Brittany White | Counselor | 200 Corwainer Dr, Suite 200, Norwell, MA 02061 | 2018-02-22 |
| 1720525470 | Nathaniel Chan Dmd PC | Dentist | 353 Washington Street, Norwell, MA 02061 | 2017-01-19 |
| 1053786707 | Proven Behavior Solutions, LLC | Behavioral Analyst | 80 Washington St Ste P55, Norwell, MA 02061 | 2015-12-07 |
| 1922405547 | Elizabeth Goggin | Speech-Language Pathologist | 329 Washington Street, Royal Norwell, Norwell, MA 02061 | 2014-11-25 |
| 1215332473 | Nicole Cisneros Pegher | Midwife | 164 Washington St Ste 104, Norwell, MA 02061 | 2014-10-30 |
| 1073918348 | Hingham Pediatric Dentistry, PC | Dentist | 45 Pond Street, Norwell, MA 02061 | 2014-10-29 |
| 1669874954 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 40 Accord Park Dr, Suite 104, Norwell, MA 02061 | 2014-09-18 |
| Find all providers in zip 02061 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720221740 | South Shore Center for Wellness Ltd | Clinic/Center | 200 Cordwainer Dr, Suite 200, Norwell, MA 02061-1671 | 2009-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356513 | Betterment Counseling | Clinic/Center | 556 Centre St Ste A, Middleboro, MA 02346-2162 | 2020-11-04 |
| 1962001651 | Mindful Matters LLC | Clinic/Center | 12 Jarvis Ln, North Attleboro, MA 02760-4313 | 2020-10-22 |
| 1497353130 | Handel Behavioral Health Services | Clinic/Center | 2 Master Dr Ste 1a, Franklin, MA 02038-3052 | 2020-10-14 |
| 1477167385 | Hidden Gems Counseling LLC | Clinic/Center | 6 Liberty Sq, Pmb 452, Boston, MA 02109 | 2020-09-08 |
| 1710597406 | Bridge of Changes | Clinic/Center | 215 Berkshire Ave, Springfield, MA 01109-1638 | 2020-08-06 |
| 1457969297 | Starlight Counseling Services, Inc | Clinic/Center | 50 Elm St Unit D, Southbridge, MA 01550-2648 | 2020-07-17 |
| 1386262053 | 1a Wellness, LLC | Clinic/Center | 225 Main St Ste 4, Wenham, MA 01984-1459 | 2020-07-09 |
| 1528683596 | Aviv, LLC | Clinic/Center | 511 Old Fall River Rd, Dartmouth, MA 02747-1208 | 2020-06-15 |
| 1447872130 | Mindset Social Solutions Inc. | Clinic/Center | 79 Regis Rd Apt 1, Mattapan, MA 02126-1743 | 2020-05-15 |
| 1992325914 | Al Counseling | Clinic/Center | 300 Baker Ave Ste 300, Concord, MA 01742-2124 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.