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

Michael Tise, LMFT

Individual provider Marriage & Family Therapist · NPI 1992446140

Michael Tise, LMFT is a Marriage and Family Therapist in Bronx, New York. Qualified in 2009, 17 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2022
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

2566 Bainbridge Ave Apt 4A
Bronx, NY 10458-4664
Phone: (646) 532-1332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 001879 (NY)

Record details

NPI number1992446140
Entity typeIndividual (Type 1)
GenderMale
Credentials LMFT
Sole proprietorYes
NPI enumeratedApril 3, 2022
Last updated in NPPESApril 3, 2022
Certification dateApril 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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