TIFFANY MARIE SHADER PHD
NPI 1083014302
Psychologist in Columbus, OH

Active since August 25, 2014
4100 HORIZONS DR., STE 202, OFFICE 203, COLUMBUS, OH 43220(614) 355-8160(614) 355-8180 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2022, Jan 14, 2021 (2 updates tracked since 2021).

About Tiffany Marie Shader Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY MARIE SHADER PHD (NPI 1083014302) is an individual psychologist in Columbus, Ohio, licensed in Ohio (P.08452) and active in the NPI registry since August 2014. She maintains a secondary practice location in Orange.

NPPES Registry Identity

NPI1083014302
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameTIFFANY MARIE SHADERCredential: PHD
Location Address4100 HORIZONS DR., STE 202, OFFICE 203Columbus, OH 43220
Mailing Address4100 Horizons Dr., Ste 202, Office 203Columbus, OH 43220-5280 · (714) 357-7810
Fax(614) 355-8180
Sole ProprietorNo
Enumeration DateAugust 25, 2014
Last NPPES UpdateSeptember 25, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2023
NPI 1083014302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in OH · P.08452 Licensed in CA · 32997
Definition
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.
4100 HORIZONS DR., Columbus, OH 43220

Secondary Practice Location 1

Location 119111 Villa Park Rd.Orange, CA 92869 · Phone (657) 234-2206

Other Identifiers 1

Medicaid2846675OH

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Shader's NPI number?

The NPI number for Tiffany Shader is 1083014302. It was assigned to this individual provider in the NPPES registry on August 25, 2014.

Where is Tiffany Shader located?

Tiffany Shader practices at 4100 Horizons Dr. Ste 202, Office 203, Columbus, OH 43220. The listed phone number is (614) 355-8160.

What is Tiffany Shader's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Tiffany Shader was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.