DR. PATRICK CHARLES STACK (D.MIN) – Addiction (Substance Use Disorder) Counselor, NPI 1407062383

DR. PATRICK CHARLES STACK (D.MIN) is a healthcare provider. based in Webster groves, Missouri. specializing in Addiction (Substance Use Disorder) Counselor. They hold the professional credentials D.MIN. They hold a License No. 2775 (MO). The NPI Number for DR. PATRICK CHARLES STACK (D.MIN) is 1407062383

Main info

Male
Sole Proprietor
Name
DR. PATRICK CHARLES STACK (D.MIN)
NPI
1407062383
Phone
(314) 963-1962
Address
11 VILLAWOOD LN
Enumeration Date
15 May 2007
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:19State licenses:3Digital endpointsOther names

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Provider Addresses for DR. PATRICK CHARLES STACK (D.MIN)

  • Villawood Lane, Wildwood Park, Webster Groves, Saint Louis County, Missouri, 63119, United States

    WEBSTER GROVES, MO 631194916

    Phone: (314) 963-1962

    Fax: (314) 968-7126

    Type: Mailing

  • 10702, Manchester Road, Kirkwood, Saint Louis County, Missouri, 63122, United States

    KIRKWOOD, MO 631221321

    Phone: (314) 966-1022

    Fax: (314) 968-7126

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63119)

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Reviews

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Frequently asked questions

Does DR. PATRICK CHARLES STACK (D.MIN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. PATRICK CHARLES STACK (D.MIN) uses 1407062383.
Can I rely on DR. PATRICK CHARLES STACK (D.MIN) being an active provider?
As of the registry snapshot, DR. PATRICK CHARLES STACK (D.MIN) is marked active.
What taxonomy line describes DR. PATRICK CHARLES STACK (D.MIN)?
For research purposes, treat DR. PATRICK CHARLES STACK (D.MIN) as Addiction (Substance Use Disorder) Counselor in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. PATRICK CHARLES STACK (D.MIN) list a practice location?
Patients near Webster Groves, Missouri may find DR. PATRICK CHARLES STACK (D.MIN) in results; validate coverage separately.
Is the information about DR. PATRICK CHARLES STACK (D.MIN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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