MICHAEL TISE LMFT
NPI 1992446140
Marriage & Family Therapist in Bronx, NY

Active since April 03, 2022PECOS Enrolled
2566 BAINBRIDGE AVE APT 4A, BRONX, NY 10458(646) 532-1332 Get Directions Write a Review

NPPES record last updated: April 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Tise Lmft NPPES

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

MICHAEL TISE LMFT (NPI 1992446140) is an individual marriage & family therapist in Bronx, New York, licensed in New York (001879) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1992446140
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMICHAEL TISECredential: LMFT
Location Address2566 BAINBRIDGE AVE APT 4ABronx, NY 10458-4664
Mailing Address2566 Bainbridge Ave Apt 4aBronx, NY 10458-4664
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateApril 3, 2022
NPPES CertifiedApril 3, 2022
NPI 1992446140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in NY · 001879
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2566 BAINBRIDGE AVE APT 4A, Bronx, NY 10458

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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)

Michael Tise Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153839113
PECOS Enrollment IDI20250801002090
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.

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 Tise's NPI number?

The NPI number for Michael Tise is 1992446140. It was assigned to this individual provider in the NPPES registry on April 3, 2022.

Where is Michael Tise located?

Michael Tise practices at 2566 Bainbridge Ave Apt 4A, Bronx, NY 10458. The listed phone number is (646) 532-1332.

What is Michael Tise's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Michael Tise enrolled in Medicare?

Yes. Michael Tise is registered in the Medicare PECOS enrollment system.

What insurance does Michael Tise accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Michael Tise 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 Michael Tise was last updated on April 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.