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Dr. Tiffany Marie Shader , PhD

Psychologist β€’ Columbus, OH

Active NPI 1083014302 Individual Practitioner Female Practitioner
Practice location in NPPES

4100 Horizons Dr., Ste 202, Office 203
Columbus, OH 43220

Call 6143558160 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4100 Horizons Dr.
Ste 202, Office 203

Columbus, OH 43220

Telephone 6143558160
Fax 6143558180
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Orange, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Columbus and Ohio

223 active clinicians are listed under Psychologist with a practice address in Columbus, OH (1,606 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Columbus

14.3% of these 223 clinicians have the CMS telehealth indicator.

26.9% of these 223 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-25
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES 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

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2846675 (OH)

Secondary Practice Locations

19111 Villa Park Rd.

Orange, CA 92869

Phone: 6572342206

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

17 Historical Events
πŸ“
Updated Practice Location September 25, 2023

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

πŸ“
Updated Business Mailing Address September 25, 2023

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

🏒
Secondary Practice Location Registered September 25, 2023

Additional practice office at 19111 Villa Park Rd., Orange, CA 92869

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

Psychologist (license number reported to NPPES: CA 32997)

πŸ“
Updated Practice Location May 19, 2022

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

πŸ“
Updated Business Mailing Address May 19, 2022

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

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

Student in an Organized Health Care Education/Training Program

πŸ“
Updated Practice Location January 14, 2021

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

πŸ“
Updated Business Mailing Address January 14, 2021

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

πŸ‘€
Provider Name / Credentials Updated January 14, 2021

Recorded as TIFFANY SHADER, PHD

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

Psychologist (license number reported to NPPES: MO 2021001238)

βœ…
NPI Profile Active August 31, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 31, 2015

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

πŸ“
Business Mailing Address (Initial Record) August 31, 2015

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

πŸ‘€
Provider Name / Credentials (Initial Record) August 31, 2015

Recorded as TIFFANY SHADER, M.A.

πŸŽ“
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.

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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

Other Psychologists in Columbus

All Psychologists in Columbus

Mailing Address

4100 Horizons Dr., Ste 202, Office 203

Columbus, OH 432205280

Phone: 7143577810

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.