Meghan Marie Smith Stack, ED.S., NCSP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20220003753 Issued in NE

Practice address

130 E 9TH St
Fremont, NE 68025-4101

Phone

(402) 727-3084

NPI assigned

Jul 17, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Fremont Public Schools

  • School Registered Nurse
  • Fremont, NE
  • NPI 1659028488
  NPD

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1457243164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E 9TH ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680254101",
            "telephone_number": "402-727-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 9TH ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680254101",
            "telephone_number": "402-727-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACK",
        "first_name": "MEGHAN",
        "middle_name": "MARIE SMITH",
        "credential": "ED.S., NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NE",
            "license": "20220003753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Jane Spevak, BS EDUCATION
• Darren Jon Splonskowski, M.D.
• Haley Sue Sporven, MA, PLMHP
• Christine Elizabeth Spreeman, PT
• SSC Fremont Operating Company LLC
• Crystal Stadt
• Aaron Stalets, RPH
• Bethany Stamm
• Kylee Victoria Stanley, M.D.
• Rachael Stawniak, PLMHP

• Psychologist in Fremont, NE
• Providers in Fremont, NE by specialty
• Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.