| Changing Tides Psychiatry | |
|
2600 Ne Highway 101 Ste 200 Lincoln City OR 97367-4464 | |
| (541) 921-3584 | |
| (541) 614-1291 |
| Full Name | Changing Tides Psychiatry |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2600 Ne Highway 101 Ste 200, Lincoln City, Oregon |
| Authorized Official Name and Position | Christine Mccambridge (OWNER) |
| Authorized Official Contact | 4192135845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Tides Psychiatry 2600 Ne Highway 101 Ste 200 Lincoln City OR 97367-4464 Ph: (541) 921-3584 | Changing Tides Psychiatry 2600 Ne Highway 101 Ste 200 Lincoln City OR 97367-4464 Ph: (541) 921-3584 |
| NPI Number | 1619570322 |
|---|---|
| Provider Enumeration Date | 11/17/2020 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Medicare PECOS PAC ID | 6608284385 |
|---|---|
| Medicare Enrollment ID | O20210419000516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619570322 | NPI | - | NPPES |
| 500714310 | Medicaid | OR | |
| 500790528 | Medicaid | OR | |
| 500790454 | Medicaid | OR |
| Provider Name | Erin S Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306217872 PECOS PAC ID: 6305156894 Enrollment ID: I20151112003002 |
| Provider Name | Christine L Mccambridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245379650 PECOS PAC ID: 5395815435 Enrollment ID: I20160928000728 |
| Provider Name | Brian Kevin Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396089470 PECOS PAC ID: 7719280627 Enrollment ID: I20171009000974 |
| Provider Name | Omolola Omoyemi Akinnodi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356019897 PECOS PAC ID: 0648661645 Enrollment ID: I20240214000762 |
| Provider Name | Adam Lee Swart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356727523 PECOS PAC ID: 2163868415 Enrollment ID: I20240309000238 |
Whalesong Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 Se 9th St Ste 1and2, Lincoln City, OR 97367 Phone: 541-614-0294 Fax: 360-844-5184 | |
Chyril Walker Phd Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4466 Ne Devils Lake Blvd, Ste A, Lincoln City, OR 97367 Phone: 541-557-2400 Fax: 541-557-2399 |