Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083014302 Individual Practitioner Female Practitioner

Dr. Tiffany Marie Shader , PhD

Psychologist • Columbus, OH

Professional Overview & Biography Verified Profile Summary

Dr. Tiffany Shader, PhD is a registered healthcare professional specializing in Psychologist in Columbus, OH. Practice services are available at 4100 HORIZONS DR. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4100 Horizons Dr.
Ste 202, Office 203

Columbus, OH 43220

Telephone 6143558160
Fax 6143558180

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.3 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
228 Specialists

Practicing in Columbus, OH (1639 Statewide)

Telehealth Adoption Rate
14.5% 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: 2023-09-25
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OH P.08452

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 CA 32997

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2846675 (OH)

Secondary Practice Locations

19111 Villa Park Rd.

Orange, CA 92869

Phone: 6572342206

Practice Associates & Co-Workers

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

40 Associated Practitioners
Mary Evans , LISW-S

Social Worker - Clinical

NPI 1003940883

LISWS

Angel Lacey , LPCC

Counselor - Professional

NPI 1013586593

Licensed Professional Clinical Counselor

Velma Valentine , LISW

Social Worker - Clinical

NPI 1043348758

Licensed Independent Social Worker

Fulya Doslovich , LPCC-S

Counselor - Professional

NPI 1093148579

LPCCS

Shazia Naurin , LPCC-S

Counselor - Professional

NPI 1104471820

LPCCS

Laura Vermilion , LSW

Social Worker - Clinical

NPI 1154455731

Licensed Social Worker

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location September 25, 2023

Registered at 4100 HORIZONS DR., STE 202, OFFICE 203, COLUMBUS, OH 43220 (Tel: 6143558160)

📍
Updated Business Mailing Address September 25, 2023

Registered at 4100 HORIZONS DR., STE 202, OFFICE 203, COLUMBUS, OH 432205280 (Tel: 7143577810)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2023

Psychologist (License #32997 in CA)

📍
Updated Practice Location May 19, 2022

Registered at 19111 VILLA PARK RD., ORANGE, CA 92869 (Tel: 6572342206)

📍
Updated Business Mailing Address May 19, 2022

Registered at 1820 WEST ORANGEWOOD AVE, STE 105, ORANGE, CA 92868 (Tel: 7143577810)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2022

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location January 14, 2021

Registered at 1450 E 10TH ST, ROLLA, MO 654013648 (Tel: 8884031071)

📍
Updated Business Mailing Address January 14, 2021

Registered at 1800 COMMUNITY, CLINTON, MO 647358804 (Tel: 6608858131)

👤
Provider Name / Credentials Updated January 14, 2021

Recorded as TIFFANY SHADER, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2021

Psychologist (License #2021001238 in MO)

NPI Profile Active August 31, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 31, 2015

Registered at 6435 E BROAD ST, COLUMBUS, OH 432131507 (Tel: 6143558160)

📍
Updated Business Mailing Address August 31, 2015

Registered at DEPT 781625, DETROIT, MI 482781625 (Tel: 6143558004)

👤
Provider Name / Credentials Updated August 31, 2015

Recorded as TIFFANY SHADER, M.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 25, 2014

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: 1083014302
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2014
Last Update: September 25, 2023
Sole Proprietor: No

Mailing Address

4100 Horizons Dr., Ste 202, Office 203

Columbus, OH 432205280

Phone: 7143577810

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.