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

Tyisha Gaskin

Individual provider Behavior Technician · NPI 1508393315

Tyisha Gaskin is a Mental Health Counselor in Forest Hills, New York. Qualified in 2020, 6 years ago. Works from 2 locations.

Years since qualifying
6
In the registry since
2017
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

104-70 Queens Blvd Ste 200
Forest Hills, NY 11375
Phone: (718) 275-6010
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 225 Broadhollow Rd, Melville, NY 11747-4822 — (631) 385-7780

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1508393315
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESJune 19, 2020
Certification dateJune 19, 2020

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Forest Hills