Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Lauren Stack, MD

Individual provider Psychiatry Physician · NPI 1619107331

Jessica Lauren Stack, MD is a Psychiatry Physician in New York, New York. Licensed in Rhode Island. Registered with an NPI since 2009.

Licensed in
RI
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

138 W 25th St Fl 10
New York, NY 10001-7470
Phone: (212) 335-2100
Fax: (646) 775-4142
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence LP01739 (RI)

Record details

NPI number1619107331
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 15, 2009
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021

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