IndividualActive
Edward Staba, PSY.D
NPI 1275164543 · Psychologist · Marion, IL
Edward Staba, PSY.D is a Psychologist provider in Marion, IL (NPI 1275164543).
Provider details
- NPI number
- 1275164543
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D
- Sex
- Male
- Sole proprietor
- No
- License
- 071.010207 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2401 W Main St
Marion, IL 62959-1188
Phone: (618) 997-5311
Street-level locationGet directions
Mailing address
205 Archelle Dr
Carbondale, IL 62901-1956
Registry dates
- Enumerated
- 2020-01-27
- Last updated
- 2020-01-27
- Certified
- 2020-01-27
Frequently asked questions
- What is Edward Staba's NPI number?
- Edward Staba's National Provider Identifier (NPI) is 1275164543, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edward Staba's specialty?
- Edward Staba is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Edward Staba located?
- Edward Staba's practice location on file with NPPES is 2401 W Main St, Marion, IL 62959-1188.
- What is Edward Staba's phone number?
- The practice phone number listed in the NPPES registry for Edward Staba is (618) 997-5311.
- Is Edward Staba's NPI active?
- Yes — Edward Staba's NPI (1275164543) is active in the NPPES registry as of the last update on 2020-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.