Individual provider Active NPI

Thomas Martin Starzynski, LLP

  • Psychologist
  • Grand Blanc, MI
National Provider Identifier
1083790091
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301009442 Issued in MI
Practice address
8203 S Saginaw St
Grand Blanc, MI 48439-2434
Phone
(269) 983-4751
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301009442 MI Primary

Addresses

Primary practice location

8203 S Saginaw St
Grand Blanc, MI 48439-2434

Mailing address

1079 Lake Park Cir
Grand Blanc, MI 48439-8039
Phone (269) 277-3013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301009442MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Blanc Psychology PLLC Current Accepting new patients

Locations

8382 Holly Rd
Ste 1
Grand Blanc, MI 48439
Phone (269) 277-3013

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1083790091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 LAKE PARK CIR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398039",
            "telephone_number": "269-277-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 S SAGINAW ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392434",
            "telephone_number": "269-983-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARZYNSKI",
        "first_name": "THOMAS",
        "middle_name": "MARTIN",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301009442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.