JESSICA LAUREN STACK MD
NPI 1619107331
Psychiatry & Neurology - Psychiatry in New York, NY

Q: What is Jessica Stack's NPI number?

The NPI number for Jessica Stack is 1619107331. It was assigned to this individual provider in the NPPES registry on July 15, 2009.

Q: What is Jessica Stack's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: Is Jessica Stack enrolled in Medicare?

No. Jessica Stack has opted out of Medicare through July 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jessica Stack was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 July 15, 2009Opted out of Medicare · through Jul 6, 2027

138 W 25TH ST FL 10, NEW YORK, NY 10001(212) 335-2100(646) 775-4142 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessica Lauren Stack Md NPPES

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

JESSICA LAUREN STACK MD (NPI 1619107331) is an individual psychiatry provider in New York, New York, licensed in Rhode Island (LP01739) and active in the NPI registry since July 2009. She has opted out of Medicare through July 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1619107331

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameJESSICA LAUREN STACKCredential: MD

Location Address138 W 25TH ST FL 10New York, NY 10001-7470

Mailing Address138 W 25th St Fl 10New York, NY 10001-7470 · (212) 335-2100 · Fax (646) 775-4142

Phone(212) 335-2100

Fax(646) 775-4142

Sole ProprietorNo

Enumeration DateJuly 15, 2009

Last NPPES UpdateFebruary 3, 2021

NPPES CertifiedFebruary 3, 2021

✔ NPI 1619107331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in RI · LP01739

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

138 W 25TH ST FL 10, New York, NY 10001

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Jessica Lauren Stack Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 6, 2015 through July 6, 2027.

Opt-Out Effective DateJuly 6, 2015

Opt-Out In Effect ThroughJuly 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$198.19 typical visit price

range $65.69 – $198.19

Typical copayment $49.54 (range $16.42 – $49.54)

Most-billed visit code 99205

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DELIA CUMBA PHD

Psychologist (Clinical Child & Adolescent)