Organization Active NPI

Stefan a. Pasternack, M.D.

  • Psychiatry Physician
  • Boca Raton, FL
National Provider Identifier
1427417971
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME81445 Issued in FL
Legal business name
STEFAN A. PASTERNACK, M.D.
Practice address
950 Peninsula Corp. Circle
#2004
Boca Raton, FL 33487-1386
Phone
(561) 706-9584
Fax
(561) 495-0266
NPI assigned
Feb 12, 2016
Organization subpart
Yes
Parent organization
STEFAN A PASTERNACK, M.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Dr. Stefan Alan Pasternack, M.D.NPI 1861431017
Title
Psychiatrist
Phone
(561) 706-9584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME81445 FL Primary

Addresses

Primary practice location

950 Peninsula Corp. Circle
#2004
Boca Raton, FL 33487-1386

Mailing address

950 Peninsula Corporate Circle
#2004
Boca Raton, FL 33487-1386
Phone (561) 706-9584

National Provider Directory

National Provider Directory
Part of
Stefan a Pasternack MD

Locations

950 Peninsula Corporate Cir
Ste 2004
Boca Raton, FL 33487
Phone (561) 706-9584

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1427417971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 PENINSULA CORPORATE CIRCLE",
            "address_2": "#2004",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871386",
            "telephone_number": "561-706-9584",
            "fax_number": "561-495-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 PENINSULA CORP. CIRCLE",
            "address_2": "#2004",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871386",
            "telephone_number": "561-706-9584",
            "fax_number": "561-495-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFAN A. PASTERNACK, M.D.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEFAN A PASTERNACK, M.D.",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "PASTERNACK",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "561-706-9584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME81445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.