SANDRA R STADER


Address: 1800 Colonial Dr, Columbia, SC 29203-6827
Phone: 8038988405

SANDRA R STADER (NPI# 1659423721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659423721
Entity Type Individual
Full Name SANDRA R STADER
Credential PHD
Practice Address 1800 Colonial Dr
Columbia
SC 29203-6827
Mailing Address Po Box 485
Columbia
SC 29202-0485
Practice Telephone 8038988405
Mailing Telephone 8038988405
Enumeration Date 2007-01-17
Last Update Date 2009-03-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 621 SC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC PS0302 05

Office Location

Street Address 1800 COLONIAL DR
City COLUMBIA
State SC
Zip Code 29203-6827

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124058458 Deepa Sobti Psychiatry & Neurology 1800 Colonial Dr, Columbia, SC 29203-6827 2006-07-03
1750780615 Brooke Barr Student in an Organized Health Care Education/Training Program 1800 Colonial Dr, Columbia, SC 29203-6827 2014-08-17
1730591546 Kristin Dixon Social Worker 1800 Colonial Dr, Columbia, SC 29203-6827 2014-05-28
1316368103 Yolanda Rhodes Registered Nurse 1800 Colonial Dr, Cottage C, Columbia, SC 29203-6827 2013-12-20
1538405063 Laurrinda H Saxon Counselor 1800 Colonial Dr, Cottage C/ Adult Clinicail Services, Columbia, SC 29203-6827 2013-01-03
1134486871 Betty Jean Armel Registered Nurse 1800 Colonial Dr, Cottages B & C, Columbia, SC 29203-6827 2012-04-19
1811220569 Columbia Area Mental Health Community Based Residential Treatment Facility, Mental Illness 1800 Colonial Dr, Columbia, SC 29203-6827 2009-09-14
1104060581 Sharon W Moody Counselor 1800 Colonial Dr, Columbia, SC 29203-6827 2009-04-29
1669615191 Katherine Marie Baughman Counselor 1800 Colonial Dr, Columbia, SC 29203-6827 2009-04-14
1669627519 Michael Lawrence Floyd Social Worker 1800 Colonial Dr, William S. Hall Psychiatric Institute Cottage C, Columbia, SC 29203-6827 2008-11-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475284 Matthew Leon Brigmon Surgery 2 Richland Medical Park, Suite 300, Columbia, SC 29203 2020-10-23
1730706839 John James Gannon Family Medicine Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 2020-07-06
1790302362 Klariz Teves Tucker Internal Medicine Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-30
1811514482 Esther Ruth Swan Psychiatry & Neurology Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1447877014 Jordan Kaitlyn Merrels Psychiatry & Neurology Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1306463187 Jessica Leigh Watson Psychiatry & Neurology Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-29
1053938852 Garrison Glenn Rice Family Medicine Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-29
1053938977 Rachel Ellen Harper Obstetrics & Gynecology The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-26
1609493592 Elizabeth Marie Kern Orthopaedic Surgery Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 2020-06-26
1891312799 Kathryn Victoria Steverson Psychiatry & Neurology Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-26
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy 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.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003413493 Dominica B Hernandez Psychologist 4 Doubleday Rd, Columbia, CT 06237-1405 2020-10-08
1326653957 Brittany A Soto Psychologist 2038 Lake Murray Blvd Apt 8203, Columbia, SC 29212-0843 2020-09-10
1740894427 Shraddha Niphadkar Psychologist 406 South 6th Street 119 Parker Hall, Columbia, MO 65211-0001 2020-09-01
1003424474 Minds Matter Psychological Services Psychologist 10015 Old Columbia Rd Ste B33, Columbia, MD 21046-1703 2020-07-21
1457987828 Anne Marie Zwycewicz Psychologist 6510 Belleview Dr, Columbia, MD 21046-1000 2020-03-18
1932757127 Brienne Allen Schaeffer Psychologist 1409 Devine St Fl 3, Columbia, SC 29208-3902 2019-08-30
1285192120 Doris Paez Psychologist 1024 Wildwood Centre Dr Ste A, Columbia, SC 29229-8400 2019-03-11
1801354188 Better Self Counseling LLC Psychologist 8640 Guilford Rd Ste 220, Columbia, MD 21046-2671 2019-03-06
1942767538 Jennifer Nicole Merrifield Psychologist 6439 Garners Ferry Rd Bldg 106, Columbia, SC 29209-1638 2019-03-01
1346711439 Natalie Gwin Psychologist 10630 Little Patuxent Pkwy Ste 310, Columbia, MD 21044-3264 2018-12-16
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Competitor

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City COLUMBIA
Zip Code 29203

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Dataset Information

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.

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