Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KIMBERLY MARIE STACK, PMHNP-BC
Active Sole ProprietorMS. KIMBERLY MARIE STACK, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in CLIFTON PARK, New York. NPI 1366413536 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · CLIFTON PARK, NY
Registration Details
- NPI Number
- 1366413536
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 27, 2006 (20.517761047305 yrs)
- Last Updated
- Jun 2, 2025
- Licenses
-
F402216 (NY)0001125389 (VA)426056-1 (NY)402216 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
954 ROUTE 146 STE 3CLIFTON PARK, NY, 120653639Browse NY providers · Browse ZIP 12065
- Phone
- 5189524000
- Fax
- 8339742234
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in CLIFTON PARK, NY
| Name | Credential | NPI |
|---|---|---|
| MS. LAURENE CATHERINE OBRIEN | NP, PSYCH,MH | 1891795225 |
| MAEGAN MAJEWSKI | PMHNP-BC | 1013387893 |
| TARA A BURKE-MUSCATELLO | FNP-BC | 1316599863 |
| TATYANA POVILIUNAS | PMHNP | 1013503010 |
| JODI LYNN CARSON | PMHNP | 1609521145 |
| AMY IRIS SULLIVAN | PMHNP | 1194463398 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.