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

Active since October 17, 2022PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
280 SMITH AVE N STE 450, SAINT PAUL, MN 55102(651) 241-5959 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2024, Oct 19, 2022 (2 updates tracked since 2022).

About Dr. Stephanie Elizabeth Tack Psyd, Lp NPPES

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

DR. STEPHANIE ELIZABETH TACK PSYD, LP (NPI 1659097186) is an individual psychologist in Saint Paul, Minnesota, licensed in Minnesota (LP6859) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1659097186
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. STEPHANIE ELIZABETH TACKCredential: PSYD, LP
Location Address280 SMITH AVE N STE 450Saint Paul, MN 55102-2481
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 17, 2022
Last NPPES UpdateJuly 30, 20242 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
NPI 1659097186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP6859
Definition
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.
280 SMITH AVE N STE 450, Saint Paul, MN 55102

Secondary Practice Location 1

Location 1333 Smith Ave NSaint Paul, MN 55102-2344 · Phone (651) 241-8565 · Fax (651) 241-7168

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephanie Elizabeth Tack Psyd, Lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355719816
PECOS Enrollment IDI20221115001886
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Group psychotherapy 90853
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.
247 services68 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
16 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Psychologist
280 SMITH AVE N STE 450
SAINT PAUL, MN 55102
Social Worker (Clinical)
280 SMITH AVE N STE 450
SAINT PAUL, MN 55102
Psychiatry & Neurology (Psychiatry)
280 SMITH AVE N STE 450
SAINT PAUL, MN 55102
Social Worker (Clinical)
280 SMITH AVE N STE 450
SAINT PAUL, MN 55102
Psychiatry & Neurology (Psychiatry)
280 SMITH AVE N STE 450
SAINT PAUL, MN 55102
Social Worker (Clinical)
280 SMITH AVE N STE 450
SAINT PAUL, MN 55102
Marriage & Family Therapist
280 SMITH AVE N STE 450
SAINT PAUL, MN 55102
Nurse Practitioner (Psychiatric/Mental Health)
280 SMITH AVE N STE 450
SAINT PAUL, MN 55102

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 Stephanie Tack's NPI number?

The NPI number for Stephanie Tack is 1659097186. It was assigned to this individual provider in the NPPES registry on October 17, 2022.

Where is Stephanie Tack located?

Stephanie Tack practices at 280 Smith Ave N Ste 450, Saint Paul, MN 55102. The listed phone number is (651) 241-5959.

What is Stephanie Tack's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Stephanie Tack enrolled in Medicare?

Yes. Stephanie Tack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Stephanie Tack affiliated with any hospitals?

According to CMS data, Stephanie Tack is affiliated with Allina United Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie Tack was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.