Stacie Dawn Tattersdill, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS016225 Issued in PA

Practice address

4004 Summer Chase CT
Lake Worth, FL 33467-2466

Phone

(856) 803-7386

NPI assigned

Nov 2, 2026

Last updated

Nov 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1336048081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 SUMMER CHASE CT",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672466",
            "telephone_number": "856-803-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 SUMMER CHASE CT",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672466",
            "telephone_number": "856-803-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATTERSDILL",
        "first_name": "STACIE",
        "middle_name": "DAWN",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100793200",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hue Wen Tang, DC
• Isaac Tapia
• Mark Tapper, LMT
• Essie Tarr, ARNP MS BC CHT
• Abraham Tatis, MA, LMHC
• Anneli Taylor
• Dawn Kimberly Taylor, LMT
• Iner Daram Taylor, PHARM. D.
• Lytoya Taylor
• Max Taylor, PHARM D.

• Clinical Psychologist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.