DOUG J LISLE P.H.D.
NPI 1831260009
Psychologist - Clinical in Santa Rosa, CA

Q: What is Doug Lisle's NPI number?

The NPI number for Doug Lisle is 1831260009. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Q: What is Doug Lisle's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Doug Lisle was last updated on May 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since November 10, 2006

1551 PACIFIC AVE, SANTA ROSA, CA 95404(707) 586-5555(707) 303-4377 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Doug J Lisle P.h.d. NPPES

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

DOUG J LISLE P.H.D. (NPI 1831260009) is an individual clinical provider in Santa Rosa, California, licensed in California (PSY15448) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1831260009

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDOUG J LISLECredential: P.H.D.

Location Address1551 PACIFIC AVESanta Rosa, CA 95404-3568

Mailing Address1551 Pacific AveSanta Rosa, CA 95404-3568 · (707) 586-5555 · Fax (707) 303-4377

Phone(707) 586-5555

Fax(707) 303-4377

Sole ProprietorYes

Enumeration DateNovember 10, 2006

Last NPPES UpdateMay 1, 2008

✔ NPI 1831260009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY15448

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1551 PACIFIC AVE, Santa Rosa, CA 95404

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Other Identifiers 2

Medicare UPINOPL154480CA

Medicare ID-Type UnspecifiedOPL154480CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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