Shifting Tides, LLC
Shifting Tides, LLC is a healthcare organization registered as Clinical Psychologist in Portage, IN, holding Type 2 (organization) NPI 1194965392 since 2009. The authorized official on file is Todd Snyder, Operating Member.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1194965392 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shifting Tides, LLC |
| Practice address | 6337 CENTRAL AVE, Portage, IN, 46368 |
| Phone | 2197631499 |
| Fax | 2197647025 |
| Enumeration date | 2009-02-27 |
| Last updated in NPPES | 2009-02-27 |
Authorized official
| Name | Todd Snyder |
|---|---|
| Title | Operating Member |
| Phone | 2197631499 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103TC0700X | Clinical Psychologist | Primary | 20042029A | IN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200538700B | Medicaid | IN | — |
Copy-ready billing details
Provider: Shifting Tides, LLC NPI: 1194965392 Taxonomy: 103TC0700X (Clinical Psychologist) Address: 6337 CENTRAL AVE, Portage, IN, 46368
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1285702548 | David Parks | Individual | Clinical Psychologist | Portage, IN |
| 1518126721 | Parks Associates, P.C. | Organization | Clinical Psychologist | Portage, IN |
| 1659819431 | Sara Veldhuizen | Individual | Mental Health Counselor | Portage, IN |
| 1043913932 | Emily Waldo | Individual | Mental Health Counselor | Portage, IN |
Verify this record
Cross-check NPI 1194965392 against the authoritative CMS record: view Shifting Tides, LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Shifting Tides, LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-02-27.