Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275164543 Individual Practitioner Male Practitioner

Dr. Edward Staba , PsyD

Psychologist • Marion, IL

Professional Overview & Biography Verified Profile Summary

Dr. Edward Staba, PsyD is a registered healthcare professional specializing in Psychologist in Marion, IL. Practice services are available at 2401 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2401 W Main St

Marion, IL 629591188

Telephone 6189975311
Associated Practice Facility / Clinic
🏢 St. Louis Jc Vamc Facility NPI 1750349429

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Marion, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Marion, IL (1075 Statewide)

Telehealth Adoption Rate
0.0% 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: 2020-01-27
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License IL 071.010207

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jenny Armendarez

Technician - Attendant Care Provider

NPI 1003467481
NPI 1003672486

REGISTEREDNURSE

Tameeka Marvin

Registered Nurse

NPI 1013613397
Bobbie Emery , RN

Registered Nurse - Ambulatory Care

NPI 1013615806

Registered Nurse

Lesli Noto , RN

Registered Nurse - Oncology

NPI 1013616770

Registered Nurse

Adrienne Franks

Registered Nurse

NPI 1013617604

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 27, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 27, 2020

Registered at 2401 W MAIN ST, MARION, IL 629591188 (Tel: 6189975311)

📍
Updated Business Mailing Address January 27, 2020

Registered at 205 ARCHELLE DR, CARBONDALE, IL 629011956 (Tel: 5616028129)

👤
Provider Name / Credentials Updated January 27, 2020

Recorded as EDWARD STABA, PSY.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2020

Psychologist (License #071.010207 in IL)

🟢
Initial NPI Registration & Enumeration January 27, 2020

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: 1275164543
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2020
Last Update: January 27, 2020
Sole Proprietor: No

Mailing Address

205 Archelle Dr

Carbondale, IL 629011956

Phone: 5616028129

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.