Active NPI
Susan Weigel Pasternak, D.M.H.
- Specialist
- New York, NY
National Provider Identifier
1023131844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 016382
- Practice address
- 9 Desbrosses St
Suite 406
New York, NY 10013-1701 - Phone
- (212) 548-2394
- NPI assigned
- Apr 8, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 016382 | NY | Primary |
Addresses
Primary practice location
9 Desbrosses St
Suite 406
New York, NY 10013-1701
Mailing address
179 Duane St
Apt 5
New York, NY 10013-3397
Phone (212) 219-8384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 19, 2022 through May 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016382 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023131844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 DUANE ST",
"address_2": "APT 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133397",
"telephone_number": "212-219-8384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 DESBROSSES ST",
"address_2": "SUITE 406",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100131701",
"telephone_number": "212-548-2394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTERNAK",
"first_name": "SUSAN",
"middle_name": "WEIGEL",
"name_prefix": "Dr.",
"credential": "D.M.H.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "016382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.