Individual provider Active NPI

Paul Andrew Tiseo, MS, LLP

  • Psychologist
  • Troy, MI
National Provider Identifier
1093558660
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
2075 W Big Beaver Rd Ste 520
Troy, MI 48084-3442
Phone
(248) 646-6659
Fax
(248) 642-8645
NPI assigned
Jun 13, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X MI Primary

Addresses

Primary practice location

2075 W Big Beaver Rd Ste 520
Troy, MI 48084-3442

Mailing address

31100 Downing PL
Beverly Hills, MI 48025-5233
Phone (248) 790-7289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1093558660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31100 DOWNING PL",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255233",
            "telephone_number": "248-790-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 W BIG BEAVER RD STE 520",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843442",
            "telephone_number": "248-646-6659",
            "fax_number": "248-642-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISEO",
        "first_name": "PAUL",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "MS, LLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-13",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.