DR. SAMANTHA SEDLAK (NPI# 1518424357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518424357 |
| Entity Type | Individual |
| Full Name | DR. SAMANTHA SEDLAK |
| Credential | PSY.D. |
| Practice Address |
631 Midflorida Dr Lakeland FL 33813-4902 |
| Mailing Address |
3310 Croasdaile Dr Ste 400 Durham NC 27705-6806 |
| Practice Telephone | 8637019202 |
| Mailing Telephone | 1938496829 |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 5529 | NC | Behavioral Health & Social Service Providers |
| Street Address |
631 MIDFLORIDA DR |
| City | LAKELAND |
| State | FL |
| Zip Code | 33813-4902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952594806 | Suzanne Marie Lavelle | Psychologist | 631 Midflorida Dr, Lakeland, FL 33813 | 2007-08-23 |
| 1568943777 | Suzanne Lavelle LLC | Psychologist | 631 Midflorida Dr, Lakeland, FL 33813-4902 | 2018-08-25 |
| 1407223829 | Karen Hartfield | Counselor | 631 Midflorida Dr, Psychological and Neurobehavioral Services, Pa, Lakeland, FL 33813-4902 | 2015-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1306323340 | Sandrene Smart | Clinic/Center | 625 Commerce Dr. (suite 103), Lakeland, FL 33813 | 2018-07-23 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1417317389 | Eye Specialists of Mid-florida, Pa | Ophthalmology | 2004 Cr 540 A, Lakeland, FL 33813 | 2016-03-04 |
| 1609234905 | Care and Life LLC | In Home Supportive Care | 6526 Fox Tree Lane, Lakeland, FL 33813 | 2016-02-02 |
| 1558731158 | Lori Ann Smith | Nurse Practitioner | 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 | 2015-09-25 |
| 1891182143 | Advanced Integrated Care Organization, LLC | Health Maintenance Organization | 5423 S. Florida Ave, Lakeland, FL 33813 | 2015-04-23 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1134542848 | Gledia Lovering | Dietitian, Registered | 6420 Highlands In The Woods St, Lakeland, FL 33813 | 2014-01-31 |
| 1134556368 | Billy Rogers | Nurse Anesthetist, Certified Registered | 4513 Orangewood Loop W., Lakeland, FL 33813 | 2013-10-02 |
| Find all providers in zip 33813 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538653647 | Rodney Dean Williams | Psychologist | 1811 Staunton Ave, Lakeland, FL 33803-2553 | 2018-06-21 |
| 1003366832 | Jeremy Cummings | Psychologist | 5121 S Lakeland Dr, #4, Lakeland, FL 33813-2623 | 2016-10-05 |
| 1588910806 | Richard Browning | Psychologist | 6146 Palomino Dr, Lakeland, TN 38002-9632 | 2012-07-25 |
| 1649432899 | Paul S Suich | Psychologist | 77 Shadow Ln, Lakeland, FL 33813-3592 | 2008-06-30 |
| 1639397169 | Sally Stader | Psychologist | 4404 S.florida Ave., Suite #3, Lakeland, FL 33813-2169 | 2007-04-22 |
| 1295844009 | David M Cook | Psychologist | 306 East Highland Drive, Lakeland, FL 33813-1727 | 2006-08-29 |
| 1205895471 | Cynthia S Mcdanal | Psychologist | 4729 Us 98 S, Suite 104, Lakeland, FL 33812-4323 | 2006-03-17 |
| 1568943777 | Suzanne Lavelle LLC | Psychologist | 631 Midflorida Dr, Lakeland, FL 33813-4902 | 2018-08-25 |
| 1518384742 | Robert Allison | Psychologist | 4729 Us 98 S, Suite 104, Lakeland, FL 33812-4323 | 2014-03-26 |
| 1659579670 | Heather E Magee | Psychologist | 4404 S Florida Ave, Suite 3, Lakeland, FL 33813-2169 | 2007-07-11 |
| Find all providers in LAKELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.