Debra Ann Stack , MA, LP
Psychologist - Cognitive & Behavioral • Minneapolis, MN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Debra Stack has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Debra Stack, MA, LP was a registered Psychologist - Cognitive & Behavioral practicing in Minneapolis, MN. Throughout an active medical career spanning 18 years, Debra Stack provided care at the practice location at 2124 DUPONT AVENUE SOUTH #104 until profile deactivation on 2024-04-24.
Practice Location & Contact Primary Location
2124 Dupont Avenue South #104
Minneapolis, MN 55403
Specialty Benchmarks & Practice Insights
Comparative analytics for Psychologist - Cognitive & Behavioral in Minneapolis, MN
Practicing in Minneapolis, MN (54 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 103TB0200X
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Psychologist - Counseling
Doctor of Philosophy (Ph.D.), Licensed Psychologist
Psychologist
Doctor of Psychology (Psy.D.)
Psychologist
Master of Arts, Licensed Psychologist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 24, 2024
Psychologist (License #LP3157 in MN)
NPI status registered as active in NPPES database
Registered at 2124 DUPONT AVENUE SOUTH #104, MINNEAPOLIS, MN 55403 (Tel: 6124811140)
Registered at 2124 DUPONT AVENUE SOUTH #104, MINNEAPOLIS, MN 55403 (Tel: 6124811140)
Recorded as DEBRA STACK, M.A.,L.P.
Psychologist (License #LP 3157 in MN)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
Sign in to leave a review for Debra Stack
Only verified registered users can submit ratings, post feedback, and upload facility photos.
NPI Administrative Meta
Mailing Address
2124 Dupont Avenue South #104
Minneapolis, MN 55403
Phone: 6124811140
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.