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LISA GUSTAFSON PH.D., PLLC
NPI 1932542180
Psychologist - Clinical in Bismarck, ND

Active since April 08, 2013
200 E MAIN AVE, SUITE 202, BISMARCK, ND 58501(701) 400-5472 Get Directions Write a Review

NPPES record last updated: October 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Gustafson Ph.d., Pllc NPPES

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

LISA GUSTAFSON PH.D., PLLC (NPI 1932542180) is an individual clinical provider in Bismarck, North Dakota, licensed in North Dakota (474) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1932542180
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLISA GUSTAFSONCredential: PH.D., PLLC
Location Address200 E MAIN AVE, SUITE 202Bismarck, ND 58501-3857
Mailing Address200 E Main Ave, Suite 202Bismarck, ND 58501-3857 · (701) 400-5472
Phone(701) 400-5472
Sole ProprietorNo
Enumeration DateApril 8, 2013
Last NPPES UpdateOctober 27, 2013
✔ NPI 1932542180 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 ND · 474
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.
200 E MAIN AVE, Bismarck, ND 58501
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Other Names 1

Former Name (1)Lisa Ann Peterson Ph.d.

Other Providers at the Same Location NPPES 2

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

MRS. NANCY BRANNAN
Counselor (Addiction (Substance Use Disorder))
200 E MAIN AVE, SUITE #204
BISMARCK, ND 58501
Burleigh County (701) 989-5648
ANGELA ROSE KUNTZ MSC, LAPC
Counselor
200 E MAIN AVE, SUITE #301
BISMARCK, ND 58501
Burleigh County (701) 323-5626

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 Gustafson's NPI number?

The NPI number for Lisa Gustafson is 1932542180. It was assigned to this individual provider in the NPPES registry on April 8, 2013. The provider is also known as Lisa Ann Peterson Ph.D..

Where is Lisa Gustafson located?

Lisa Gustafson practices at 200 E Main Ave Suite 202, Bismarck, ND 58501. The listed phone number is (701) 400-5472.

What is Lisa Gustafson's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisa Gustafson was last updated on October 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.