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DR. JEFFREY MICHAEL TISCH DO
NPI 1194220384
Psychiatry & Neurology - Child & Adolescent Psychiatry in Mobile, AL

Active since March 28, 2018PECOS Enrolled
6908 PROVIDENCE PARK DR S, MOBILE, AL 36695(251) 660-3490 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 23, 2023, Jun 10, 2021, Mar 28, 2018 (3 updates tracked since 2018).

About Dr. Jeffrey Michael Tisch Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY MICHAEL TISCH DO (NPI 1194220384) is an individual child & adolescent psychiatry provider in Mobile, Alabama, licensed in Alabama (DO.2135) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194220384
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. JEFFREY MICHAEL TISCHCredential: DO
Location Address6908 PROVIDENCE PARK DR SMobile, AL 36695-4600
Mailing Address300 Crittenden BlvdRochester, NY 14642-0001 · (585) 273-4485
Phone(251) 660-3490
Sole ProprietorNo
Enumeration DateMarch 28, 2018
Last NPPES UpdateOctober 23, 20233 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1194220384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in AL · DO.2135
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6908 PROVIDENCE PARK DR S, Mobile, AL 36695
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey Michael Tisch Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. AMY LEIGH GOFF LPC
Counselor (Mental Health)
6908 PROVIDENCE PARK DR S
MOBILE, AL 36695
Mobile County (251) 660-3490
DR. AMIT PANT MD
Pediatrics
6908 PROVIDENCE PARK DR S
MOBILE, AL 36695
Mobile County (251) 660-3490
HARI KRISHNAN SIVANANDAM M.D.
Pediatrics
6908 PROVIDENCE PARK DR S
MOBILE, AL 36695
Mobile County (251) 660-3490
MRS. VIMLA PRAVENI BHAGWANDIN M.D.
Pediatrics
6908 PROVIDENCE PARK DR S
MOBILE, AL 36695
Mobile County (251) 660-3490
NANCY ELAINE WEIBLE M.D.
Family Medicine
6908 PROVIDENCE PARK DR S
MOBILE, AL 36695
Mobile County (251) 660-3490
ALTAPOINTE HEALTH SYSTEMS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
6908 PROVIDENCE PARK DR S
MOBILE, AL 36695
Mobile County (251) 660-3490
STEPHANIE DAWN ANDREWS CRNP
Nurse Practitioner (Family)
6908 PROVIDENCE PARK DR S
MOBILE, AL 36695
Mobile County (251) 660-3490
REBEKAH ELIZABETH LI ANN MILLS
Counselor (Mental Health)
6908 PROVIDENCE PARK DR S
MOBILE, AL 36695
Mobile County (251) 450-2211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Tisch's NPI number?

The NPI number for Jeffrey Tisch is 1194220384. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Jeffrey Tisch located?

Jeffrey Tisch practices at 6908 Providence Park Dr S, Mobile, AL 36695. The listed phone number is (251) 660-3490.

What is Jeffrey Tisch's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jeffrey Tisch enrolled in Medicare?

Yes. Jeffrey Tisch is registered in the Medicare PECOS enrollment system.

What insurance does Jeffrey Tisch accept?

Health plans from Blue Cross and Blue Shield of Alabama list Jeffrey Tisch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Tisch was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.