TYLER NELLISSEN
NPI 1407674385
Counselor - Mental Health in Brooklyn, NY

Q: What is Tyler Nellissen's NPI number?

The NPI number for Tyler Nellissen is 1407674385. It was assigned to this individual provider in the NPPES registry on September 30, 2024.

Q: What is Tyler Nellissen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Nellissen was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since September 30, 2024

26 COURT ST STE 2510, BROOKLYN, NY 11242(508) 991-9791 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tyler Nellissen NPPES

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

TYLER NELLISSEN (NPI 1407674385) is an individual mental health provider in Brooklyn, New York, licensed in New York (P130322) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1407674385

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameTYLER NELLISSEN

Location Address26 COURT ST STE 2510Brooklyn, NY 11242-1125

Mailing Address26 Court St Ste 2510Brooklyn, NY 11242-1125 · (508) 991-9791

Phone(508) 991-9791

Sole ProprietorNo

Enumeration DateSeptember 30, 2024

NPPES CertifiedSeptember 30, 2024

✔ NPI 1407674385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · P130322

26 COURT ST STE 2510, Brooklyn, NY 11242

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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 Tyler Nellissen's NPI number?

The NPI number for Tyler Nellissen is 1407674385. It was assigned to this individual provider in the NPPES registry on September 30, 2024.

Where is Tyler Nellissen located?

Tyler Nellissen practices at 26 Court St Ste 2510, Brooklyn, NY 11242. The listed phone number is (508) 991-9791.

What is Tyler Nellissen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tyler Nellissen was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.