Sally Stader, PH.D

NPI: 1639397169

Sally Stader, PH.D

Q: What is Sally Stader's NPI number?

Sally Stader's NPI number is 1639397169, a unique 10-digit identifier issued by CMS.

Q: What does Sally Stader specialize in?

Sally Stader specializes in Psychologist, taxonomy code 103T00000X.

Q: Where does Sally Stader practice?

Sally Stader practices in Lakeland, FL 33813-2169.

Q: When was Sally Stader's NPI issued?

Sally Stader's NPI was issued on April 22, 2007.

Q: What is Sally Stader's provider type?

Sally Stader is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderPsychologist

NPI issued: April 22, 2007

Quick Facts

NPI Number

1639397169

TypeIndividual

StatusActive

SpecialtyPsychologist

Taxonomy103T00000X — Psychologist

Phone

(863) 247-2626

StateFL

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1639397169)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (April 22, 2007)

Data source: CMS NPPES

Provider Overview

SALLY STADER, PH.D is a Psychologist provider based in Lakeland, FL who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1639397169

Provider TypeIndividual Provider

GenderFemale

CredentialPH.D

StatusActive

Enumeration DateApril 22, 2007

Practice Location

CityLakeland

StateFL

ZIP Code33813-2169

Phone(863) 247-2626

Specialties & Licenses

★ Primary

SpecialtyPsychologist

Taxonomy Code103T00000X

License StateFL

Mailing Address

CityLakeland

StateFL

ZIP Code33813-2169

Phone(863) 247-2626

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1639397169 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1639397169for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1639397169 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Psychologist

Specialists in Psychologist provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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