NPIMap

Organization Active NPI

Christine Lynn McCambridge

Doing business as Changing Tides Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln City, OR
National Provider Identifier
1619570322
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CHRISTINE LYNN MCCAMBRIDGE
Doing business as
Changing Tides Psychiatry
Practice address
2600 NE Highway 101 Ste 200
Lincoln City, OR 97367-4464
Phone
(541) 921-3584
Fax
(541) 614-1291
NPI assigned
Nov 17, 2020
Last updated
Jul 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Christine McCambridge, PMHNP-BCNPI 1245379650
Title
Owner
Phone
(419) 213-5845

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

2600 NE Highway 101 Ste 200
Lincoln City, OR 97367-4464

Mailing address

2600 NE Highway 101 Ste 200
Lincoln City, OR 97367-4464
Phone (541) 921-3584

Other practice location 1

2705 E Burnside St
Portland, OR 97214-1763
Phone (541) 921-3584

Other identifiers 3

IdentifierTypeStateIssuer
500714310MedicaidOR
500790454MedicaidOR
500790528MedicaidOR

Other names 1

  • Changing Tides Psychiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210419000516 OR Part B Supplier - Clinic/Group Practice 6608284385 Receives reassigned benefits from 7 practitioners
Practice locations: Lincoln City, OR

National Provider Directory

National Provider Directory

Locations

1140 NE Highway 101
Lincoln City, OR 97367
Phone (541) 921-3584

2600 NE Highway 101
Lincoln City, OR 97367

2600 NE Highway 101
Ste 200
Lincoln City, OR 97367
Phone (541) 921-3584

2705 E Burnside St
Portland, OR 97214
Phone (541) 583-0261

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1619570322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 NE HIGHWAY 101 STE 200",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973674464",
            "telephone_number": "541-921-3584",
            "fax_number": "541-614-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NE HIGHWAY 101 STE 200",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973674464",
            "telephone_number": "541-921-3584",
            "fax_number": "541-614-1291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2705 E Burnside St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972141763",
            "country_code": "US",
            "telephone_number": "541-921-3584",
            "fax_number": "541-614-1291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRISTINE LYNN MCCAMBRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "MCCAMBRIDGE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-213-5845",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500714310",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500790454",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500790528",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Changing Tides Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.