Lisa A Fraleigh, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

7825498-8904 Issued in UT

Practice address

112 E 100 N
Suite a
Logan, UT 84321-4638

Phone

(435) 213-3797

Fax

(435) 213-9581

NPI assigned

Aug 23, 2006

Last updated

Sep 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, ID2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

University of New England, College of Osteo Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canvi Behavioral Health PLLCGroup PAC ID 0941692073, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.fraleigh.1@25427.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Canvi Behavioral Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chubbuck, ID
  • NPI 1144984873

  UT

  Medicare reassignment Care Compare group NPD
• Ihc Health Services Inc

  dba IMED Physicians Billing

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1629260880
  Medicare reassignment NPD
• Ihc Health Services Inc

  dba Logan Regional Hospital Physicians

  • Multi-Specialty Clinic/Center
  • Logan, UT
  • NPI 1710996673
  NPD
• Ihc Health Services, Inc.

  dba St George Adolescent Partial Hospitalization

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1558478115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E 100 N STE A",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214602",
            "telephone_number": "435-213-3797",
            "fax_number": "435-213-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E 100 N",
            "address_2": "SUITE A",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214638",
            "telephone_number": "435-213-3797",
            "fax_number": "435-213-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRALEIGH",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "7825498-8904",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "UT",
            "license": "7825498-8904",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikenzi Ford, MS, CCC-SLP
• Jodi L Forsgren, LPC
• Gary George Foster, DDS
• Gary K Fowers, MD
• Miranda Fowler
• Michael Reed Francis, D.O.
• Todd Albert Francom, MSWI
• Monique R Frazier, PHD
• Thomas Vernon Frazier
• Lorena Lynn Freelove, LCSW

• Psychiatry Physician in Logan, UT
• Providers in Logan, UT by specialty
• Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.