Active NPIOrganization

Tides Psychotherapy Services, LLC

Social Worker, Clinical in Mahwah, New Jersey

NPI Number1609168384
Practice location
900 Darlington Avenue, Mahwah, NJ 07430
Fax
—
Last updated
May 12, 2011

Tides Psychotherapy Services, LLC is a healthcare organization based in Mahwah, NJ. Tides Psychotherapy Services, LLC practices in Mahwah, NJ. The NPI Number for Tides Psychotherapy Services, LLC is 1609168384 and holds a License No. 44SC05284000 (NJ). The current practice location address for Tides Psychotherapy Services, LLC is 900 Darlington Avenue, Mahwah, NJ 07430 and can be reached out via phone at 973-699-6916.

Provider Profile Details

NPI Number
1609168384
Provider Name
Tides Psychotherapy Services, LLC
Provider Entity Type
Organization
Address
900 Darlington Avenue, Mahwah, NJ 07430
Phone Number
973-699-6916
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Tara M Dublanica, LCSW · Owner/ Psychotherapist · 973-699-6916
Provider Enumeration Date
May 12, 2011
Last Update Date
May 12, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
900 Darlington Avenue
Mahwah, NJ 07430
City
Mahwah
Zip
07430
Phone Number
973-699-6916
Mahwah, NJ 07430Get directions →

Provider Business Mailing Address Details

Address
6 Vail Street
Nutley, NJ 07110
City
Nutley
State
NJ
Zip
07110
Phone Number
973-699-6916

License Information

License Number
44SC05284000
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tides Psychotherapy Services, LLC?

The NPI number of Tides Psychotherapy Services, LLC is 1609168384. It was assigned on May 12, 2011 and is currently active in the NPPES registry.

What is the specialty of Tides Psychotherapy Services, LLC?

Tides Psychotherapy Services, LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05284000.

Where does Tides Psychotherapy Services, LLC practice?

The practice location is 900 Darlington Avenue, Mahwah, NJ 07430. The office can be reached at 973-699-6916 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609168384 directly on the NPPES registry website.

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