P Praxis·MD
● Active Type 1 · Individual

Robert D. Lisota, PH.D.

Psychologist·Idaho Falls, ID· NPI 1316175862 · Enumerated 2009 · 16 years on NPI
Lisota is 1 of 14 psychologist providers in Idaho Falls and 1 of 235 in Idaho.
NPI age
16 years
Enumerated 2009-06-23
Primary specialty
Psychologist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-05-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 235 active psychologist providers in Idaho.

NPI age
16 years
≈ at median (17 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-06Enumerated in NPPES
2009 2026

Where they practice

Practice location
725 S Woodruff Ave Ste 101
Idaho Falls, ID 834015286
📞 2083467500fax 2083467501
Mailing address
725 S Woodruff Ave Ste 101
Idaho Falls, ID 834015286
📞 2083467500fax 2083467501

Specialties

  • Psychologist Primary
    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...
    ID license #PSY202807 taxonomy 103TC0700X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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