IndividualActive
Tiffany Shader, PHD
NPI 1083014302 · Psychologist · Columbus, OH
Provider details
- NPI number
- 1083014302
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 32997 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4100 Horizons Dr.
Ste 202, Office 203
Columbus, OH 43220
Phone: (614) 355-8160
Fax: (614) 355-8180
Street-level locationGet directions
Mailing address
4100 Horizons Dr.
Columbus, OH 43220-5280
Additional practice locations (1)
- 19111 Villa Park Rd.Orange, CA 92869Phone: (657) 234-2206
Registry dates
- Enumerated
- 2014-08-25
- Last updated
- 2023-09-25
- Certified
- 2023-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.