DR. STEPHANIE ELIZABETH TACK PSYD, LP
NPI 1659097186
Psychologist in Saint Paul, MN

NPI Status: Active since October 17, 2022

Contact Information

280 SMITH AVE N STE 450
SAINT PAUL, MN
ZIP 55102
Phone: (651) 241-5959

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  • Individual
  • Female
  • Years of Experience 5
  • Psychologist
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About STEPHANIE TACK

This page provides the complete NPI Profile along with additional information for Stephanie Tack, a provider established in Saint Paul, Minnesota with a medical specialization in Psychologist and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1659097186 assigned on October 2022. The practitioner's primary taxonomy code is 103T00000X with license number LP6859 (MN). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1659097186
Provider Name
DR. STEPHANIE ELIZABETH TACK PSYD, LP
Gender
Female
Entity Type
Individual
Location Address
280 SMITH AVE N STE 450 SAINT PAUL, MN 55102
Location Phone
(651) 241-5959
Mailing Address
2925 CHICAGO AVE MINNEAPOLIS, MN 55407
Mailing Phone
(612) 262-9000
Medical School Name
OTHER
Graduation Year
2021
Is Sole Proprietor?
No
Enumeration Date
10-17-2022
Last Update Date
07-30-2024
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A psychologist like Stephanie Tack studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

Location Map

Secondary Locations

  • 333 Smith Ave N
    Saint Paul, MN 55102
    (651) 241-8565

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
LP6859
License State
MN
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Medicare Participation & PECOS Enrollment Status

Stephanie Tack is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Stephanie Tack is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1355719816

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20221115001886

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Group psychotherapy

Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.

This service was performed 33 times for 13 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Stephanie Tack is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ALLINA UNITED HOSPITAL333 NORTH SMITH AVENUE
SAINT PAUL, MN 55102
(763) 236-8205Acute Care Hospitals

Reviews for DR. STEPHANIE ELIZABETH TACK PSYD, LP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1659097186
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261090914116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 0 + 9 + 1 + 4 + 1 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1659097186 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

KATHI MARIE ACKERMAN LICSW

Social Worker

(Clinical)

280 SMITH AVE N STE 450
SAINT PAUL, MN
ZIP 55102

(651) 241-5959

DR. STEVEN C MILLER MD

Psychiatry & Neurology

(Psychiatry)

280 SMITH AVE N STE 450
SAINT PAUL, MN
ZIP 55102

(651) 241-5959

RACHEL RIESGRAF LICSW

Social Worker

(Clinical)

280 SMITH AVE N STE 450
SAINT PAUL, MN
ZIP 55102

(651) 241-5959

LONNIE A WIDMER M.D.

Psychiatry & Neurology

(Psychiatry)

280 SMITH AVE N STE 450
SAINT PAUL, MN
ZIP 55102

(651) 241-5959

MARY BETH LARDIZABAL DO

Psychiatry & Neurology

(Psychiatry)

280 SMITH AVE N STE 450
SAINT PAUL, MN
ZIP 55102

(651) 241-5959

RAMASUBBU SAIRAM MD

Psychiatry & Neurology

(Psychiatry)

280 SMITH AVE N STE 450
SAINT PAUL, MN
ZIP 55102

(651) 241-5959

DR. DANIEL BRIAN HURLEY PH.D., LP

Psychologist

280 SMITH AVE N STE 450
SAINT PAUL, MN
ZIP 55102

(651) 241-5959

HANNAH KAJER LICSW

Social Worker

(Clinical)

280 SMITH AVE N STE 450
SAINT PAUL, MN
ZIP 55102

(651) 241-5959

MICHAEL SHANE FARRELL D.O.

Psychiatry & Neurology

(Psychiatry)

280 SMITH AVE N STE 450
SAINT PAUL, MN
ZIP 55102

(651) 241-5959

APRIL DAWN LUND CNP

Nurse Practitioner

(Psychiatric/Mental Health)

280 SMITH AVE N STE 450
SAINT PAUL, MN
ZIP 55102

(651) 241-5959

DR. CHRISTOPHER MILLER MS, PSYD, LP

Psychologist

280 SMITH AVE N STE 450
SAINT PAUL, MN
ZIP 55102

(651) 241-5959

TSETEN YOUDON PMHNP-BC

Nurse Practitioner

(Psychiatric/Mental Health)

280 SMITH AVE N STE 450
SAINT PAUL, MN
ZIP 55102

(651) 241-5959

HANNAH M REILAND D.O.

Psychiatry & Neurology

(Psychiatry)

280 SMITH AVE N STE 450
SAINT PAUL, MN
ZIP 55102

(651) 241-5959

MS. TERESA ANN PUFF LICSW

Social Worker

(Clinical)

280 SMITH AVE N STE 450
SAINT PAUL, MN
ZIP 55102

(651) 241-5959

TERESA LEE VAN DE SANDE NP

Nurse Practitioner

(Psychiatric/Mental Health)

280 SMITH AVE N STE 450
SAINT PAUL, MN
ZIP 55102

(715) 821-0599

KRISTIN ELIZABETH THOMPSON D.O.

Psychiatry & Neurology

(Psychiatry)

280 SMITH AVE N STE 450
SAINT PAUL, MN
ZIP 55102

(651) 241-5959

AMITABH A TIPNIS MD

Psychiatry & Neurology

(Psychiatry)

280 SMITH AVE N STE 450
SAINT PAUL, MN
ZIP 55102

(651) 241-5959

MADDILYN C LINDEMAN

Psychologist

280 SMITH AVE N STE 450
SAINT PAUL, MN
ZIP 55102

(651) 241-5959

SARA ELIZABETH LANTZ LICSW

Social Worker

(Clinical)

280 SMITH AVE N STE 450
SAINT PAUL, MN
ZIP 55102

(651) 241-5959

DANYELLE JEONG CALIGUIRE LMFT

Marriage & Family Therapist

280 SMITH AVE N STE 450
SAINT PAUL, MN
ZIP 55102

(651) 241-5959

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659097186, enumerated as an "individual" on October 17, 2022.

The provider is located at 280 SMITH AVE N STE 450 SAINT PAUL, MN 55102 and the phone number is (651) 241-5959.

Psychologist with taxonomy code 103T00000X.

Stephanie Tack is affiliated with: ALLINA UNITED HOSPITAL.