DR. TANNEN STAHLEY-LAKE (NPI# 1760482541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760482541 |
| Entity Type | Individual |
| Full Name | DR. TANNEN STAHLEY-LAKE |
| Credential | PSYD |
| Practice Address |
163 Plaza Rd Indiana PA 15701-3264 |
| Practice Telephone | 7244652311 |
| Practice Fax Number | 7244652339 |
| Mailing Telephone | 7244652311 |
| Mailing Fax Number | 7244652339 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2014-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS015411 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BS# | ST1500807 | 01 |
| Street Address |
163 PLAZA RD |
| City | INDIANA |
| State | PA |
| Zip Code | 15701-3264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053947143 | Sarah Kysor | Student in an Organized Health Care Education/Training Program | 163 Plaza Rd, Indiana, PA 15701-3264 | 2020-03-20 |
| 1366072829 | Ashley Elizabeth Solt | Counselor | 163 Plaza Rd, Indiana, PA 15701-3264 | 2020-01-23 |
| 1609415017 | Stephanie Leslie Vitolo | Counselor | 163 Plaza Rd, Indiana, PA 15701-3264 | 2020-01-02 |
| 1962900217 | Michelle Lynn Brink | Counselor | 163 Plaza Rd, Indiana, PA 15701-3264 | 2018-01-31 |
| 1548777436 | Katrina Lynn Mcaninch | Counselor | 163 Plaza Rd, Indiana, PA 15701-3264 | 2018-01-02 |
| 1598136665 | Lake Psychological Services | Psychologist | 163 Plaza Rd, Indiana, PA 15701-3264 | 2015-10-14 |
| 1366702094 | Julie Learn | Counselor | 163 Plaza Rd, Indiana, PA 15701-3264 | 2012-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
| Find all providers in zip 15701 | ||||
| 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 |
|---|---|---|---|---|
| 1821313131 | Beverly Janice Goodwin | Psychologist | Center for Applied Psychology, 210 Uhler Hall, Indiana, PA 15705-1064 | 2010-03-30 |
| 1912238320 | Donald Urey Robertson | Psychologist | Center for Applied Psychology 1020 Oakland, 238a Uhler Hall, Indiana, PA 15705-1064 | 2010-01-25 |
| 1023280732 | Mark Raymond Mcgowan | Psychologist | 1176 Grant St, Suite 2220, Indiana, PA 15701-2870 | 2008-04-02 |
| 1427263425 | Judith Ann Rein | Psychologist | 128 Newport Dr, Indiana, PA 15701-2418 | 2007-05-12 |
| 1225240245 | David R. Allen | Psychologist | 335 Grant St, Indiana, PA 15701-3158 | 2007-05-03 |
| 1184849135 | Susan Nolin Shopland | Psychologist | 31 S Carpenter Ave, Frick Building Suite One, Indiana, PA 15701-2794 | 2007-04-16 |
| 1083603492 | Paulette Blais | Psychologist | 235 Gompers Ave, Indiana, PA 15701-2129 | 2005-10-18 |
| 1700166089 | Denise Kadish | Psychologist | 1380 Route 286 Hwy E, Suite 524, Indiana, PA 15701-1461 | 2011-08-18 |
| 1811299845 | Rita G Drapkin | Psychologist | 31 S Carpenter Ave, Suite 1, Indiana, PA 15701-2794 | 2010-11-24 |
| 1427388859 | Derek R. Hatfield | Psychologist | 850 Hospital Rd, Suite 3000, Indiana, PA 15701-3662 | 2010-01-07 |
| Find all providers in INDIANA | ||||
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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.