DR. SALLY STADER PH.D.
NPI 1639397169
Psychologist in Lakeland, FL
About Dr. Sally Stader Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SALLY STADER PH.D. (NPI 1639397169) is an individual psychologist in Lakeland, Florida, licensed in Florida (PY5379) and active in the NPI registry since April 2007. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Sally Stader Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2015 through October 1, 2027.
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 Sally Stader's NPI number?
The NPI number for Sally Stader is 1639397169. It was assigned to this individual provider in the NPPES registry on April 22, 2007.
Where is Sally Stader located?
Sally Stader practices at 4404 S.Florida Ave. Suite #3, Lakeland, FL 33813. The listed phone number is (863) 247-2626.
What is Sally Stader's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Sally Stader enrolled in Medicare?
No. Sally Stader has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Sally Stader accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Sally Stader as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sally Stader was last updated on December 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.