Cheryl Lynn Tisler, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

180223 Issued in NY

Practice address

140 Allen's Creek Rd
Suite 04
Rochester, NY 14618-3307

Phone

(585) 394-6656

Fax

(585) 301-4917

NPI assigned

Oct 4, 2006

Last updated

Nov 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1912093568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ALLEN'S CREEK RD",
            "address_2": "SUITE 04",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183307",
            "telephone_number": "585-394-6656",
            "fax_number": "585-301-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ALLEN'S CREEK RD",
            "address_2": "SUITE 04",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183307",
            "telephone_number": "585-394-6656",
            "fax_number": "585-301-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISLER",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "180223",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "180223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Tirk, HIS
• Savanna Tirk, HAD
• Brooklynn T Tisdale, LPN
• Sherry Linda Tisdale, NURSE
• Valerie Ann Tisdale, BS
• Andrew Tisser, DO
• Igor B. Titoff, D.O.
• Titus a Howell DDS PC
• Gabrielle Titus
• Gwendolyn Ann Titus, RN

• Psychiatry Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.