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