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DAVID LISAK PHD
NPI 1629562269
Psychologist - Forensic in Placitas, NM

Active since June 18, 2018
42 AGUA SARCA RD, PLACITAS, NM 87043(617) 947-4119 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Lisak Phd NPPES

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

DAVID LISAK PHD (NPI 1629562269) is an individual forensic provider in Placitas, New Mexico, licensed in Massachusetts (6295) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1629562269
Entity TypeIndividualMale
Primary Taxonomy103TF0200X
Provider Legal NameDAVID LISAKCredential: PHD
Location Address42 AGUA SARCA RDPlacitas, NM 87043-9404
Mailing Address42 Agua Sarca RdPlacitas, NM 87043-9404
Phone(617) 947-4119
Sole ProprietorYes
Enumeration DateJune 18, 2018
✔ NPI 1629562269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ForensicBehavioral Health & Social Service Providers
Taxonomy Code103TF0200X
License✔ Licensed in MA · 6295
Definition

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

42 AGUA SARCA RD, Placitas, NM 87043
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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 David Lisak's NPI number?

The NPI number for David Lisak is 1629562269. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is David Lisak located?

David Lisak practices at 42 Agua Sarca Rd, Placitas, NM 87043. The listed phone number is (617) 947-4119.

What is David Lisak's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

When was this NPI record last updated?

The NPPES record for David Lisak was last updated on June 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.