DR. MICHAEL JAY LUSTICK M.D.
NPI 1699943589
Psychiatry & Neurology - Child & Adolescent Psychiatry in Derby, CT

Active since February 14, 2008
30 ELIZABETH ST, DERBY, CT 06418(203) 954-0543 Get Directions Write a Review

NPPES record last updated: December 18, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Michael Jay Lustick M.d. NPPES

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

DR. MICHAEL JAY LUSTICK M.D. (NPI 1699943589) is an individual child & adolescent psychiatry provider in Derby, Connecticut, licensed in Connecticut (023667) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1699943589
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. MICHAEL JAY LUSTICKCredential: M.D.
Location Address30 ELIZABETH STDerby, CT 06418-1802
Mailing Address30 Elizabeth StDerby, CT 06418-1802 · (203) 954-0543
Sole ProprietorYes
Enumeration DateFebruary 14, 2008
Last NPPES UpdateDecember 18, 2014
NPI 1699943589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in CT · 023667
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.

30 ELIZABETH ST, Derby, CT 06418

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
30 ELIZABETH ST, 3RD FLOOR
DERBY, CT 06418
Social Worker (Clinical)
30 ELIZABETH ST, 3RD FLOOR
DERBY, CT 06418
Social Worker (Clinical)
30 ELIZABETH ST, 3RD FLOOR
DERBY, CT 06418
Social Worker (Clinical)
30 ELIZABETH ST, 3RD FLOOR
DERBY, CT 06418
Psychologist (Clinical Child & Adolescent)
30 ELIZABETH ST, 3RD FLOOR
DERBY, CT 06418
Social Worker (Clinical)
30 ELIZABETH ST, 3RD FLOOR
DERBY, CT 06418
Social Worker (Clinical)
30 ELIZABETH ST, 3RD FLOOR
DERBY, CT 06418
Counselor (Mental Health)
30 ELIZABETH ST, 3RD FLOOR
DERBY, CT 06418

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 Michael Lustick's NPI number?

The NPI number for Michael Lustick is 1699943589. It was assigned to this individual provider in the NPPES registry on February 14, 2008.

Where is Michael Lustick located?

Michael Lustick practices at 30 Elizabeth St, Derby, CT 06418. The listed phone number is (203) 954-0543.

What is Michael Lustick's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Lustick was last updated on December 18, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.