Margaret Ann Stack, PH.D., APBB

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301005353 Issued in MI

Practice address

777 Livernois St
Ferndale, MI 48220-2306

Phone

(248) 546-3304

Fax

(248) 546-3305

NPI assigned

Feb 26, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Resources for Development PC

  • Clinical Psychologist
  • Royal Oak, MI
  • NPI 1497048425
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1447429261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26789 WOODWARD AVE",
            "address_2": "SUITE #107C",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701335",
            "telephone_number": "248-546-3304",
            "fax_number": "248-546-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 LIVERNOIS ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202306",
            "telephone_number": "248-546-3304",
            "fax_number": "248-546-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACK",
        "first_name": "MARGARET",
        "middle_name": "ANN",
        "credential": "PH.D., APBB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301005353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kat J Spindler, CCC-SLP/L
• Stephanie Danielle Springer, D.P.T.
• Lisa A Spurlock, MD
• Melissa Squirewell
• David Gregory St. John, PHD, LP
• Stacy Wright PLLC
• Stacie Irene Stafford, TLLP
• Kimberly Jean Stark-Van Noord, PA
• Stephanie Diponio Therapy & Consulting
• Stephanie Williams, PHD, LP, PLLC

• Clinical Psychologist in Ferndale, MI
• Providers in Ferndale, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.