Individual provider Active NPI

Michael Patrick Lysaght, LMFT

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1184868820
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC77671 Issued in CA
Practice address
1919 21St St Ste 207
Sacramento, CA 95811-6827
Phone
(415) 205-2788
Fax
(408) 384-5070
NPI assigned
Apr 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC77671 CA Primary

Addresses

Primary practice location

1919 21St St Ste 207
Sacramento, CA 95811-6827

Mailing address

1919 21St St Ste 207
Sacramento, CA 95811-6827
Phone (415) 205-2788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 24, 2025 through Jun 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC77671CAMDMarriage & Family Therapist
77671CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Marriage & Family Therapist Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michaellysaght@tdh.allscriptsdirect.net

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": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1184868820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 21ST ST STE 207",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958116827",
            "telephone_number": "415-205-2788",
            "fax_number": "408-384-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 21ST ST STE 207",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958116827",
            "telephone_number": "415-205-2788",
            "fax_number": "408-384-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSAGHT",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-24",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC77671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.