Aimee Miltich Lyst, PHD, PLLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

2760 Issued in TN

Legal business name

AIMEE MILTICH LYST, PHD, PLLC

Practice address

570 Bakers Bridge Ave
Franklin, TN 37067-6456

Phone

(615) 790-3200

Fax

(615) 794-2883

NPI assigned

Mar 5, 2008

Last updated

Mar 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Aimee Miltich Lyst, PHD

Title

Owner

Phone

(615) 790-3200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1407026453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 BAKERS BRIDGE AVE",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676456",
            "telephone_number": "615-790-3200",
            "fax_number": "615-794-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 BAKERS BRIDGE AVE",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676456",
            "telephone_number": "615-790-3200",
            "fax_number": "615-794-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIMEE MILTICH LYST, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "LYST",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "MILTICH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-790-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TN",
            "license": "2760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Child & Adolescent Psychologist in Franklin, TN
• Providers in Franklin, TN by specialty
• Clinical Child & Adolescent Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.