DR. EDWARD STABA PSY.D
NPI 1275164543
Psychologist in Marion, IL
About Dr. Edward Staba Psy.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWARD STABA PSY.D (NPI 1275164543) is an individual psychologist in Marion, Illinois, licensed in Illinois (071.010207) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Edward Staba Psy.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Edward Staba's NPI number?
The NPI number for Edward Staba is 1275164543. It was assigned to this individual provider in the NPPES registry on January 27, 2020.
Where is Edward Staba located?
Edward Staba practices at 2401 W Main St, Marion, IL 62959. The listed phone number is (618) 997-5311.
What is Edward Staba's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Edward Staba enrolled in Medicare?
Yes. Edward Staba is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Edward Staba was last updated on January 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.