Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shifting Tides, LLC

Organization Clinical Psychologist · NPI 1194965392

Shifting Tides, LLC is a Clinical Psychologist in Portage, Indiana. Licensed in Indiana. Registered with an NPI since 2009.

Licensed in
IN
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6337 Central Ave
Portage, IN 46368-3801
Phone: (219) 763-1499
Fax: (219) 764-7025
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20042029A (IN)

Record details

NPI number1194965392
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Snyder — Operating Member · (219) 763-1499
NPI enumeratedFebruary 27, 2009
Last updated in NPPESFebruary 27, 2009
Mailing address6337 Central Ave, Portage, IN 46368-3801

Other providers in Portage