Organization Active NPI

Ebb Tide Treatment LLC

Doing business as Ebb Tide Treatment Centers

  • Adult Mental Health Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1699135186
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
EBB TIDE TREATMENT LLC
Doing business as
Ebb Tide Treatment Centers
Practice address
5737 Corporate Way
West Palm Beach, FL 33407-2003
Phone
(561) 508-8330
NPI assigned
Feb 26, 2016
Last updated
Feb 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Joseph Kilkenny Donovan
Title
Ceo
Phone
(561) 508-8330

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X FL
Substance Abuse Rehabilitation Facility 324500000X NU

Addresses

Primary practice location

5737 Corporate Way
West Palm Beach, FL 33407-2003

Mailing address

5737 Corporate Way
West Palm Beach, FL 33407-2003
Phone (561) 508-8330

Other names 1

  • Ebb Tide Treatment Centers Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2110099Ebb Tide Treatment, LLC5737 Corporate Way, West Palm Beach, FL 33407Certificate of waiverMar 7, 2028

National Provider Directory

National Provider Directory

Locations

3385 Burns Rd
Ste 108
Palm Beach Gardens, FL 33410
Phone (561) 508-8330

400 Executive Center Dr
Ste 209
West Palm Beach, FL 33401

5737 Corporate Way
West Palm Beach, FL 33407
Phone (561) 508-8330

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1699135186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5737 CORPORATE WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072003",
            "telephone_number": "561-508-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5737 CORPORATE WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072003",
            "telephone_number": "561-508-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBB TIDE TREATMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "KILKENNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-508-8330"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ebb Tide Treatment Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ebb Tide Treatment Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.