P Praxis·MD
● Active Type 1 · Individual

DR. Jarod John Fitzgerald, PH.D.

Psychologist·Lewiston, ID· NPI 1477690576 · Enumerated 2007 · 19 years on NPI
Fitzgerald is 1 of 5 psychologist providers in Lewiston and 1 of 235 in Idaho.
NPI age
19 years
Enumerated 2007-01-30
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-06-11
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
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 82% — 17% of peers are multi-state
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
1203 Idaho St
Lewiston, ID 835011940
📞 2088488300
Mailing address
611 N Iron Bridge Way
Spokane, WA 992024932
📞 5094448888

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 #PSY-202347WA license #PY3410 taxonomy 103TC0700X

Practice context

Part of a multi-provider practice. 30 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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