Doctor profile · Federal record

Dr. Jeffrey Tisch, DO

Child & Adolescent Psychiatry Physician · Student in an Organized Health Care Education/Training Program · Mobile, AL

  • NPI 1194220384
  • 8 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
6908 Providence Park Dr S
Mobile, AL 366954600
(251) 660-3490
Mailing address
300 Crittenden Blvd
Rochester, NY 146420001

Credentials & registration

NPPES · NUCC
NPI registered
March 2018 — 8 yrs on file
Profile last updated
October 23, 2023
Specialty taxonomy
2084P0804X — NUCC code
State license (1)
Alabama #DO.2135

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1194220384. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$220
Transactions
3
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Supernus Pharmaceuticals, INC. 3 $220.23

By nature of payment

Food and Beverage
$220

Frequently asked questions

Auto-generated from federal data
What is Dr. Jeffrey Tisch's medical specialty?
Dr. Jeffrey Tisch practices Child & Adolescent Psychiatry Physician in Mobile, AL.
Where does Dr. Jeffrey Tisch practice?
Dr. Jeffrey Tisch practices at 6908 Providence Park Dr S, Mobile, AL 366954600. Office phone: 2516603490.
What is Dr. Jeffrey Tisch's NPI?
Dr. Jeffrey Tisch's National Provider Identifier (NPI) is 1194220384, issued by NPPES.