Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023195864 Individual Practitioner Female Practitioner

Dr. Deborah Jean Stack , PhD

Psychologist • Hartford, CT

Professional Overview & Biography Verified Profile Summary

Dr. Deborah Stack, PhD is a registered healthcare professional specializing in Psychologist in Hartford, CT. Practice services are available at 682 PROSPECT AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

682 Prospect Avenue

Hartford, CT 06105

Telephone 8602586065
Fax 8602325077

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Hartford, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.6 Yrs
State Avg: 29.2 Yrs
Regional Practice Density
39 Specialists

Practicing in Hartford, CT (697 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License CT 1238

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
060001238CT01 (CT)
Commercial Insurance / Payer ID Oxford
HAS394 (CT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Myrta Soto , LCSW

Social Worker - Clinical

NPI 1821257106

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 682 PROSPECT AVENUE, HARTFORD, CT 06105 (Tel: 8602586065)

📍
Updated Business Mailing Address July 08, 2007

Registered at 682 PROSPECT AVENUE, HARTFORD, CT 06105 (Tel: 8602586065)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DEBORAH STACK, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #1238 in CT)

🟢
Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023195864
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

682 Prospect Avenue

Hartford, CT 06105

Phone: 8602586065

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.