# KIMBERLY M STACK, NP IN PSYCHIATRY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235929621
- **Authorized official:** KIMBERLY M STACK NP (DNP, PMHNP-BC)
- **Authorized official phone:** (518) 952-4000

## Contact information

- **Practice address:** 954 ROUTE 146 STE 3, CLIFTON PARK, NY 12065-3639
- **Practice address phone:** (518) 952-4000
- **Mailing address:** 954 ROUTE 146 STE 3, CLIFTON PARK, NY 12065-3639
- **Mailing address phone:** (518) 952-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2025
- **Last updated:** 06/02/2025