J. THOMAS STACK, PH.D., PA
NPI 1962519165
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jacksonville, NC

Active since August 24, 2006
2444 COMMERCE RD, JACKSONVILLE, NC 28546(910) 347-5511(910) 346-3970 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About J. Thomas Stack, Ph.d., Pa NPPES

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

J. THOMAS STACK, PH.D., PA (NPI 1962519165) is a healthcare organization registered as a mental health (including community mental health center) in Jacksonville, North Carolina and active in the NPI registry since August 2006. The organization lists J Thomas Stack, President, as its authorized official.

NPPES Registry Identity

NPI1962519165
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameJ. THOMAS STACK, PH.D., PA
Location Address2444 COMMERCE RDJacksonville, NC 28546-7560
Mailing Address2444 Commerce RdJacksonville, NC 28546-7560 · (910) 347-5511 · Fax (910) 346-3970
Fax(910) 346-3970
Organization SubpartNo
Authorized OfficialJ Thomas StackPresident · (910) 347-5511
Enumeration DateAugust 24, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1962519165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License Licensed in NC · 0321
2444 COMMERCE RD, Jacksonville, NC 28546

Other Identifiers 3

Other8D26D8F5BETricare
Medicaid6000016NC
Other0320667NC · Blue Cross

Other Providers at the Same Location NPPES 13

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

Marriage & Family Therapist
2444 COMMERCE RD, 131
JACKSONVILLE, NC 28546
Social Worker (Clinical)
2444 COMMERCE RD
JACKSONVILLE, NC 28546
Social Worker (Clinical)
2444 COMMERCE RD
JACKSONVILLE, NC 28546
Social Worker (Clinical)
2444 COMMERCE RD
JACKSONVILLE, NC 28546
Social Worker (Clinical)
2444 COMMERCE RD, JACKSONVILLE
JACKSONVILLE, NC 28546
Psychologist
2444 COMMERCE RD, STE 125
JACKSONVILLE, NC 28546
Behavior Technician
2444 COMMERCE RD
JACKSONVILLE, NC 28546
Counselor (Professional)
2444 COMMERCE RD
JACKSONVILLE, NC 28546

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 J. Thomas Stack, Ph.D., PA's NPI number?

The NPI number for J. Thomas Stack, Ph.D., PA is 1962519165. It was assigned to this organization in the NPPES registry on August 24, 2006.

Where is J. Thomas Stack, Ph.D., PA located?

J. Thomas Stack, Ph.D., PA is located at 2444 Commerce Rd, Jacksonville, NC 28546. The listed phone number is (910) 347-5511.

What is J. Thomas Stack, Ph.D., PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for J. Thomas Stack, Ph.D., PA was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.