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Tidal Psychiatric Services LLC

Psychiatric/Mental Health Nurse Practitioner in Saint Leonard, MD · enumerated 2025 · authorized official Tsion Mekonnen, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174492342

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Registry record

Entity type Organization (Type 2)
Legal business name Tidal Psychiatric Services LLC
Practice address 7430 Mayflower Ct, Saint Leonard, MD, 20685
Phone (850) 758-6321
Fax (540) 307-4943
Enumeration date Nov 4, 2025
Last updated in NPPES Nov 4, 2025

Taxonomy & classification

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Tsion Mekonnen
Title Owner
Phone (540) 527-5070

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Tidal Psychiatric Services LLC?
The NPI for Tidal Psychiatric Services LLC is 1174492342, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Tidal Psychiatric Services LLC?
NPPES lists Tsion Mekonnen (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-04.