Michael Tise, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001879 Issued in NY

Practice address

2566 Bainbridge Ave Apt 4a
Bronx, NY 10458-4664

Phone

(646) 532-1332

NPI assigned

Apr 3, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: michaeltise@therapist.net

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.

• Casa de Los Ninos

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1730681685
  NPD (past)
• Casa de Los Ninos, Inc.

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1760154181
  NPD (past)

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

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648944000000",
    "number": "1992446140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 BAINBRIDGE AVE APT 4A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104584664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 BAINBRIDGE AVE APT 4A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104584664",
            "telephone_number": "646-532-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISE",
        "first_name": "MICHAEL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-03",
        "last_updated": "2022-04-03",
        "certification_date": "2022-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Michaeltise@therapist.net",
            "affiliation": "N",
            "address_1": "2566 Bainbridge Ave Apt 4A",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104584664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Beatrice Tirado, RN
• Gloria Susanah Tirado
• Jessica Tirado
• Sonia Tirado, LMSW
• Neeraj Tirunagari
• Chloe E Tiso
• Gabriel Tissian, MD
• Titan Dental P C
• George Titomihelakis, MD
• John Otto Titus-Yu, MD

• Marriage & Family Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.