Kimberly M Stack, NP in Psychiatry PC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KIMBERLY M STACK, NP IN PSYCHIATRY PC

Practice address

954 Route 146 Ste 3
Clifton Park, NY 12065-3639

Phone

(518) 952-4000

NPI assigned

May 8, 2025

Organization subpart

No

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

Authorized official

Name

Kimberly M Stack, NPNPI 1366413536

Title

DNP, Pmhnp-BC

Phone

(518) 952-4000

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Marie Stack, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clifton Park, NY
  • NPI 1366413536

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1235929621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 ROUTE 146 STE 3",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653639",
            "telephone_number": "518-952-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 ROUTE 146 STE 3",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653639",
            "telephone_number": "518-952-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY M STACK, NP IN PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "STACK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DNP, PMHNP-BC",
        "authorized_official_telephone_number": "518-952-4000",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Kelly
• Jennifer J Kenney, CCC-SLP
• Sarah Gilda Khan, PHARM D
• Nora E Kilhullen, MS, CCC-SLP
• Sangmee Kim, DDS
• Michael Lewis King, DDS
• Nancy King, M.S., R.D., C.D.N.
• Jaclyn Kingston
• Kletter D.M.D & Levine D.D.S. PC
• Alisandra Klocek, RN

• Psychiatric/Mental Health Nurse Practitioner in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.