TIDALHEALTH PEDIATRIC DEVELOPMENT AND THERAPY LLC
NPI 1689568404
Speech-Language Pathologist in Millsboro, DE
NPI Status: Active since June 05, 2025
Contact Information
30265 COMMERCE DR UNIT 204
MILLSBORO, DE
ZIP 19966
Phone: (443) 978-6020
- Organization
- Speech-Language Pathologist
About TIDALHEALTH PEDIATRIC DEVELOPMENT AND THERAPY LLC
This page provides the complete NPI Profile along with additional information for Tidalhealth Pediatric Development And Therapy Llc, a provider established in Millsboro, Delaware operating as a Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1689568404 assigned on June 2025. The practitioner's primary taxonomy code is 235Z00000X. The provider is registered as an organization and their NPI record was last updated June 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jazmine Maree Hollins (Credentialing Specialist)
- NPI
- 1689568404
- Provider Name
- TIDALHEALTH PEDIATRIC DEVELOPMENT AND THERAPY LLC
- Entity Type
- Organization
- Location Address
- 30265 COMMERCE DR UNIT 204 MILLSBORO, DE 19966
- Location Phone
- (443) 978-6020
- Mailing Address
- 30265 COMMERCE DR UNIT 204 MILLSBORO, DE 19966
- Mailing Phone
- (443) 978-6020
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-05-2025
- Last Update Date
- 06-05-2025
- Code Navigator
Location Map
Secondary Locations
- 2326 Goddard Pkwy Ste D
Salisbury, MD 21801
(443) 978-6020
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- Taxonomy Description
- The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 8 | 9 | 5 | 6 | 8 | 4 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 10 | 6 | 16 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 1 + 0 + 6 + 1 + 6 + 4 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1689568404 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275369522 | TIDALHEALTH PEDIATRIC DEVELOPMENT AND THERAPY LLC Organization | Occupational Therapist | 30265 COMMERCE DR UNIT 204 MILLSBORO, DE 19966 (704) 799-6824 |
| 1588558308 | TIDALHEALTH PEDIATRIC DEVELOPMENT AND THERAPY LLC Organization | Occupational Therapist | 30265 COMMERCE DR UNIT 204 MILLSBORO, DE 19966 (443) 978-6020 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689568404, enumerated in the NPI registry as an "organization" on June 05, 2025
The provider is located at 30265 Commerce Dr Unit 204 Millsboro, De 19966 and the phone number is (443) 978-6020
This medical organization specializes in Speech-Language Pathologist with taxonomy code 235Z00000X
This NPI record was last updated on June 05, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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