DR. LISA SULLIVAN PHD.
NPI 1619639473
Psychologist in Bend, OR

Active since October 08, 2021
18625 MACALPINE LOOP, BEND, OR 97702(760) 672-1787 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lisa Sullivan Phd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA SULLIVAN PHD. (NPI 1619639473) is an individual psychologist in Bend, Oregon, licensed in California (17800) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1619639473
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LISA SULLIVANCredential: PHD.
Location Address18625 MACALPINE LOOPBend, OR 97702-9366
Mailing Address18625 Macalpine LoopBend, OR 97702-9366 · (760) 672-1787
Sole ProprietorNo
Enumeration DateOctober 8, 2021
NPPES CertifiedOctober 8, 2021
NPI 1619639473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 17800
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
18625 MACALPINE LOOP, Bend, OR 97702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Sullivan's NPI number?

The NPI number for Lisa Sullivan is 1619639473. It was assigned to this individual provider in the NPPES registry on October 8, 2021.

Where is Lisa Sullivan located?

Lisa Sullivan practices at 18625 Macalpine Loop, Bend, OR 97702. The listed phone number is (760) 672-1787.

What is Lisa Sullivan's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Lisa Sullivan was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.