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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.

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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?
The practice location on file with NPPES is in Portage, IN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-02-27. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-02-27.