DR. SHIRLEY L. STACK PH.D.
NPI 1366695447
Psychologist - Clinical in Avila Beach, CA

Q: What is Shirley Stack's NPI number?

The NPI number for Shirley Stack is 1366695447. It was assigned to this individual provider in the NPPES registry on November 3, 2008.

Q: What is Shirley Stack's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Shirley Stack was last updated on November 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 03, 2008

170 VILLAGE CREST, AVILA BEACH, CA 93424(805) 595-7936 Get Directions Write a Review

NPPES record last updated: November 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Shirley L. Stack Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHIRLEY L. STACK PH.D. (NPI 1366695447) is an individual clinical provider in Avila Beach, California, licensed in California (PSY14640) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1366695447

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SHIRLEY L. STACKCredential: PH.D.

Location Address170 VILLAGE CRESTAvila Beach, CA 93424-2442

Mailing AddressPo Box 2442Avila Beach, CA 93424-2442 · (805) 595-7936

Phone(805) 595-7936

Sole ProprietorYes

Enumeration DateNovember 3, 2008

✔ NPI 1366695447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY14640

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

170 VILLAGE CREST, Avila Beach, CA 93424

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shirley Stack's NPI number?

The NPI number for Shirley Stack is 1366695447. It was assigned to this individual provider in the NPPES registry on November 3, 2008.

Where is Shirley Stack located?

Shirley Stack practices at 170 Village Crest, Avila Beach, CA 93424. The listed phone number is (805) 595-7936.

What is Shirley Stack's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Shirley Stack was last updated on November 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.