Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Stephanie Elizabeth Tack, PSYD, LP

Individual provider Psychologist · NPI 1659097186

Dr. Stephanie Elizabeth Tack, PSYD, LP is a Psychiatry in Saint Paul, Minnesota. Qualified in 2021, 5 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2022
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

280 Smith Ave N Ste 450
Saint Paul, MN 55102-2481
Phone: (651) 241-5959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 333 Smith Ave N, Saint Paul, MN 55102-2344 — (651) 241-8565

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP6859 (MN)

Record details

NPI number1659097186
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , LP
Sole proprietorNo
NPI enumeratedOctober 17, 2022
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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