Tidal Psychiatric Services LLC
NPI 1174492342 · Psychiatric/Mental Health Nurse Practitioner · Saint Leonard, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tidal Psychiatric Services LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Saint Leonard, MD (NPI 1174492342).
Provider details
- NPI number
- 1174492342
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tsion Mekonnen, Owner(540) 527-5070
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-11-04
- Last updated
- 2025-11-04
- Certified
- 2025-11-04
Frequently asked questions
- What is Tidal Psychiatric Services LLC's NPI number?
- Tidal Psychiatric Services LLC's National Provider Identifier (NPI) is 1174492342, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidal Psychiatric Services LLC?
- Tidal Psychiatric Services LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tidal Psychiatric Services LLC located?
- Tidal Psychiatric Services LLC's practice location on file with NPPES is 7430 Mayflower Ct, Saint Leonard, MD 20685-2497.
- What is Tidal Psychiatric Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Tidal Psychiatric Services LLC is (850) 758-6321.
- Does Tidal Psychiatric Services LLC accept Medicare?
- Tidal Psychiatric Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tidal Psychiatric Services LLC?
- The authorized official listed on Tidal Psychiatric Services LLC's NPPES record is Tsion Mekonnen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidal Psychiatric Services LLC's NPI active?
- Yes — Tidal Psychiatric Services LLC's NPI (1174492342) is active in the NPPES registry as of the last update on 2025-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.