Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Jay Lustick, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1699943589

Dr. Michael Jay Lustick, MD is a Child & Adolescent Psychiatry Physician in Derby, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

30 Elizabeth St
Derby, CT 06418-1802
Phone: (203) 954-0543
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 023667 (CT)

Record details

NPI number1699943589
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 14, 2008
Last updated in NPPESDecember 18, 2014
Mailing address30 Elizabeth St, Derby, CT 06418-1802