IndividualActive
Lisa Gustafson, PH.D., PLLC
NPI 1932542180 · Clinical Psychologist · Bismarck, ND
Provider details
- NPI number
- 1932542180
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., PLLC
- Sex
- Female
- Sole proprietor
- No
- License
- 474 (ND)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 E Main Ave
Suite 202
Bismarck, ND 58501-3857
Phone: (701) 400-5472
Street-level locationGet directions
Mailing address
200 E Main Ave
Bismarck, ND 58501-3857
Registry dates
- Enumerated
- 2013-04-08
- Last updated
- 2013-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.