Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shifting Tides, LLC

Organization Clinical Psychologist · NPI 1194965392

Shifting Tides, LLC provides Clinical Psychologist services 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 Not confirmed with CMS for 17 years — call before visiting
Phone: (219) 763-1499
Fax: (219) 764-7025
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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

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