Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639397169 Individual Practitioner Female Practitioner

Dr. Sally Stader , PhD

Psychologist • Lakeland, FL

Professional Overview & Biography Verified Profile Summary

Dr. Sally Stader, PhD is a registered healthcare professional specializing in Psychologist in Lakeland, FL. Practice services are available at 4404 S.FLORIDA AVE. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4404 S.florida Ave.
Suite #3

Lakeland, FL 338132169

Telephone 8632472626

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Lakeland, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
16 Specialists

Practicing in Lakeland, FL (2327 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-10
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License FL PY5379

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, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist

NUCC Taxonomy Code: 103T00000X

State License IN 20040657A

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, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address December 10, 2022

Registered at 4404 S FLORIDA AVE STE 3, LAKELAND, FL 338132183 (Tel: 8632472626)

NPI Profile Active August 07, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2015

Registered at 4404 S.FLORIDA AVE., SUITE #3, LAKELAND, FL 338132169 (Tel: 8637098110)

📍
Updated Business Mailing Address August 07, 2015

Registered at 4404 S.FLORIDA AVE., SUITE #3, LAKELAND, FL 338132169 (Tel: 8637098110)

👤
Provider Name / Credentials Updated August 07, 2015

Recorded as SALLY STADER, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2015

Psychologist (License #PY5379 in FL)

🟢
Initial NPI Registration & Enumeration April 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639397169
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2007
Last Update: December 10, 2022
Sole Proprietor: No

Mailing Address

4404 S Florida Ave Ste 3

Lakeland, FL 338132183

Phone: 8632472626

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.