SHIFTING TIDES, LLC – Clinical Psychologist, NPI 1194965392

SHIFTING TIDES, LLC is a healthcare provider. based in Portage, Indiana. specializing in Clinical Psychologist. The organization holds a License No. 20042029A (IN). The NPI Number for SHIFTING TIDES, LLC is 1194965392

Main info

Organization
Name
SHIFTING TIDES, LLC
NPI
1194965392
Phone
(219) 763-1499
Address
6337 CENTRAL AVE
Authorized Official
DR. TODD SNYDER OPERATING MEMBER PSY.D.
Enumeration Date
27 February 2009
Last Update Date
27 February 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for SHIFTING TIDES, LLC

  • 6337, Central Avenue, McCool, Portage, Porter County, Indiana, 46368, United States

    PORTAGE, IN 463683801

    Phone: (219) 763-1499

    Fax: (219) 764-7025

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46368)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for SHIFTING TIDES, LLC?
SHIFTING TIDES, LLC — NPI 1194965392 — is the standard way to identify this listing.
Is SHIFTING TIDES, LLC listed as active for patients and plans?
The listing shows SHIFTING TIDES, LLC as active in the NPI system.
What taxonomy line describes SHIFTING TIDES, LLC?
For research purposes, treat SHIFTING TIDES, LLC as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
What area does SHIFTING TIDES, LLC serve?
SHIFTING TIDES, LLC's listing highlights Portage, Indiana; more addresses can appear in NPPES.
Is the information about SHIFTING TIDES, LLC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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