Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lisa Joan Nippoldt-Baca, PSYD, LP, ABPP

Individual provider Clinical Psychologist · NPI 1720314909

Dr. Lisa Joan Nippoldt-Baca, PSYD, LP, ABPP is a Clinical Psychologist in Woodbury, Minnesota. Licensed in Minnesota. Registered with an NPI since 2009.

Licensed in
MN
In the registry since
2009
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1937 Woodlane Dr Ste 101
Woodbury, MN 55125
Phone: (651) 764-8480
Fax: (651) 471-9253
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence LP5271 (MN)
Clinical Psychologist Taxonomy 103TC0700X · Licence LP5271 (MN)
Psychologist Taxonomy 103T00000X · Licence LP5271 (MN)

Record details

NPI number1720314909
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , LP , ABPP
Sole proprietorNo
NPI enumeratedOctober 23, 2009
Last updated in NPPESApril 25, 2024
Certification dateMay 19, 2022

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