Tides Behavioral Health LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

TIDES BEHAVIORAL HEALTH LLC

Practice address

4 Preston CT Ste 101
Bedford, MA 01730-2356

Phone

(781) 570-5781

NPI assigned

Mar 7, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffrey Cluett

Title

Billing

Phone

(508) 209-7089

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1073371860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PRESTON CT STE 101",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PRESTON CT STE 101",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302356",
            "telephone_number": "781-570-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDES BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "CLUETT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "508-209-7089"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Mackenzie Thibeault
• Jacob Thich, RN, PMHNP
• Daphne Jean Thompson
• Alphina Thopurathu, PA-C
• Michael Tiano
• Shaw D Tilton, MSW
• Brittny Rose Tobey, LCSW
• Toby Nathan, M.D., PC
• Karl J Toews, PH.D.
• Mongseyla Touch

• Substance Abuse Rehabilitation Facility in Bedford, MA
• Providers in Bedford, MA by specialty
• Substance Abuse Rehabilitation Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.