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

Dr. Lisa Sullivan, PHD

Individual provider Psychologist · NPI 1619639473

Dr. Lisa Sullivan, PHD is a Psychologist in Bend, Oregon. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

18625 Macalpine Loop
Bend, OR 97702-9366
Phone: (760) 672-1787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 17800 (CA)

Record details

NPI number1619639473
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 8, 2021
Last updated in NPPESOctober 8, 2021
Certification dateOctober 8, 2021
Mailing address18625 Macalpine Loop, Bend, OR 97702-9366

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