NPIMap

Organization Active NPI

Tidalhealth Specialty Care, LLC

  • Adult Mental Health Clinic/Center
  • Salisbury, MD
National Provider Identifier
1962027094
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
TIDALHEALTH SPECIALTY CARE, LLC
Practice address
200 E Vine St
Salisbury, MD 21804-5531
Phone
(410) 543-7119
NPI assigned
Jun 15, 2020
Last updated
Jul 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TIDALHEALTH SPECIALTY CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
William Pelot
Title
Chief Administrative Officer
Phone
(410) 543-7497

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

200 E Vine St
Salisbury, MD 21804-5531

Mailing address

PO Box 2498
Salisbury, MD 21802-2498
Phone (410) 912-4976

Other names 1

  • TidalHealth Behavioral Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Tidalhealth Specialty Care99 organizations share this tax ID, including this one
Part of
Tidalhealth Specialty Care

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Locations

30265 Commerce Dr
Millsboro, DE 19966
Phone (302) 629-5050

30265 Commerce Dr
Unit 103
Millsboro, DE 19966
Phone (302) 297-2598

11107 Cathage Rd
Berlin, MD 21811
Phone (410) 629-0888

11107 Cathage Rd
Unit 103
Berlin, MD 21811
Phone (410) 912-5674

1310 Belmont Ave
Ste 302
Salisbury, MD 21804
Phone (410) 430-7247

1310 Belmont Ave
Ste 303
Salisbury, MD 21804

145 E Carroll St
#B202
Salisbury, MD 21801

145 E Carroll St
Ste B202
Salisbury, MD 21801
Phone (410) 548-2600

1640 Woodbrooke Dr
Ste A206
Salisbury, MD 21804

1652 Woodbrooke Dr
Ste B
Salisbury, MD 21804
Phone (410) 912-6875

1664 Woodbrooke Dr
Unit A
Salisbury, MD 21804
Phone (410) 912-6716

1664 Woodbrooke Dr
Unit B
Salisbury, MD 21804
Phone (410) 912-6716

400 Eastern Shore Dr
Ste 101
Salisbury, MD 21804

400 Eastern Shore Dr
Ste 204
Salisbury, MD 21804
Phone (410) 912-6716

401 Eastern Shore Dr
Salisbury, MD 21804

560 Riverside Dr
Ste A206
Salisbury, MD 21801
Phone (301) 284-8917

Practitioners & affiliated clinicians

Practitioners 166

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 166

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1962027094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2498",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218022498",
            "telephone_number": "410-912-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E VINE ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045531",
            "telephone_number": "410-543-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDALHEALTH SPECIALTY CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TIDALHEALTH SPECIALTY CARE, LLC",
        "enumeration_date": "2020-06-15",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "PELOT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "410-543-7497"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TidalHealth Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.