P Praxis·MD
● Active Type 1 · Individual

DR. Lavonna D Patterson, PHD

Psychologist·Idaho Falls, ID· NPI 1588682652 · Enumerated 2006 · 19 years on NPI
Patterson is 1 of 12 psychologist providers in Idaho Falls and 1 of 196 in Idaho.
NPI age
19 years
Enumerated 2006-07-17
Primary specialty
Psychologist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-01-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 196 active psychologist providers in Idaho.

NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
111 E 16th St
Idaho Falls, ID 834045919
📞 2085231130fax 2085296501
Mailing address
111 E 16th St
Idaho Falls, ID 834045919
📞 2085231130fax 2085296501

Specialties

  • Psychologist Primary
    A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles,...
    ID license #PSY202117 taxonomy 103T00000X

Identifiers

TypeValueNotes
05 (ID) 002648300
01 (ID) N6168 BLUE CROSS
01 (ID) 820428306 TRICARE

Practice context

Part of a multi-provider practice. 9 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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