YISROEL MORDECHAI LYSS (NPI# 1417416165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417416165 |
| Entity Type | Individual |
| Full Name | YISROEL MORDECHAI LYSS |
| Credential | MFT |
| Practice Address |
50 Brookside Rd Waterbury CT 06708-1402 |
| Practice Telephone | 2037554490 |
| Mailing Telephone | 2037554490 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 50 Brookside Rd, Waterbury, CT 067081402 | 2037554490 |
| Street Address |
50 BROOKSIDE RD |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588705990 | Edite Ramos Duarte | Social Worker | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2007-02-09 |
| 1477189660 | Kyle L Akeley | Counselor | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2020-03-19 |
| 1578195780 | Samantha Boisvert | Social Worker | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2020-02-05 |
| 1821628959 | Samantha Gawlas | Social Worker | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2020-01-16 |
| 1164080420 | Adam Enoch | Social Worker | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2019-06-03 |
| 1801454350 | Danielle Rousseau | Social Worker | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2019-05-30 |
| 1487212957 | Maria Camila Rivera Montoya | Social Worker | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2019-05-30 |
| 1295208569 | Amanda Green | Social Worker | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2019-01-09 |
| 1407329345 | Tanya Chirsky | Counselor | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2019-01-03 |
| 1730662461 | Bobbie Cheri Maebry | Counselor | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2018-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294056 | Keyndra Lewis | Marriage & Family Therapist | 116 Courtland Ave, Waterbury, CT 06705-2412 | 2020-10-27 |
| 1952934507 | Donald Joseph Smith Jr. | Marriage & Family Therapist | 1389 W Main St Ste 312, Waterbury, CT 06708-3115 | 2020-02-21 |
| 1568837177 | Renee Katie Kochera | Marriage & Family Therapist | 925 Oronoke Rd, Unit 41-h, Waterbury, CT 06708-3945 | 2015-12-08 |
| 1265773881 | Sharayah Morrissey | Marriage & Family Therapist | 141 E Main St Fl 2, Waterbury, CT 06702-2310 | 2013-03-06 |
| 1417273384 | Michael Augustine | Marriage & Family Therapist | 678 Chase Parkway, Waterbury, CT 06704 | 2010-04-16 |
| 1447464763 | Elsa J. Jimenez-francis | Marriage & Family Therapist | 402 East Main St, Wellmore Behavioral Health - Bsf, Waterbury, CT 06702-1701 | 2007-05-09 |
| 1619190253 | Michele K Flowers | Marriage & Family Therapist | 16 Corona Dr, Waterbury, CT 06708-1705 | 2007-04-11 |
| 1366566630 | Steven B Duley | Marriage & Family Therapist | 34 Murray Street, Family Services of Greater Waterbury, Waterbury, CT 06710-1920 | 2007-03-19 |
| 1710001664 | Viann Oden | Marriage & Family Therapist | 252 N Pinnacle Ridge Rd, Waterbury, VT 05676-9142 | 2007-03-18 |
| 1750414793 | Joyce A Chesery | Marriage & Family Therapist | 1138 West Main Street, Waterbury, CT 06708 | 2007-03-13 |
| Find all providers in WATERBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.