Organization Active NPI

Tidepool Mental Health PLLC

Doing business as Tidepool Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Port Townsend, WA
National Provider Identifier
1265394779
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TIDEPOOL MENTAL HEALTH PLLC
Doing business as
Tidepool Mental Health
Practice address
210 Polk St Ste 10
Port Townsend, WA 98368-6739
Phone
(360) 928-6649
Fax
(920) 605-8991
NPI assigned
Dec 2, 2025
Last updated
Aug 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Authorized official

Name
Brenda G Francis, DNP PMHNP-BCNPI 1407361405
Title
Founder
Phone
(920) 296-5104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

210 Polk St Ste 10
Port Townsend, WA 98368-6739

Mailing address

210 Polk St Ste 10
Port Townsend, WA 98368-6739
Phone (360) 928-6649

Other names 1

  • Tidepool Mental Health Doing business as

National Provider Directory

National Provider Directory

Locations

210 Polk St
Ste 10
Port Townsend, WA 98368

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786838400000",
    "number": "1265394779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 POLK ST STE 10",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686739",
            "telephone_number": "360-928-6649",
            "fax_number": "920-605-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 POLK ST STE 10",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686739",
            "telephone_number": "360-928-6649",
            "fax_number": "920-605-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEPOOL MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "920-296-5104",
        "authorized_official_credential": "DNP PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tidepool Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; 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.