Active NPI
Michelle Renee Pasternack, CCSW C
- Psychiatry Physician
- Columbia, MD
National Provider Identifier
1649217993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 04851
- Practice address
- 7130 Minstrel Way
Suite 212
Columbia, MD 21045 - Phone
- (410) 290-6940
- Fax
- (410) 290-9763
- NPI assigned
- Jun 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 04851 | MD | Primary |
Addresses
Primary practice location
7130 Minstrel Way
Suite 212
Columbia, MD 21045
Mailing address
120 Sister Pierre Drive
Suite 403
Towson, MD 21204
Phone (410) 823-6408
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
| License | State | Type | Specialty |
|---|---|---|---|
| 04851 | MD | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych Associates of Maryland LLC | Psychiatry | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bloom Health Centers
- Psychologist
- Timonium, MD
- NPI 1891721981
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649217993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 SISTER PIERRE DRIVE",
"address_2": "SUITE 403",
"city": "TOWSON",
"state": "MD",
"postal_code": "21204",
"telephone_number": "410-823-6408",
"fax_number": "443-279-0537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7130 MINSTREL WAY",
"address_2": "SUITE 212",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21045",
"telephone_number": "410-290-6940",
"fax_number": "410-290-9763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTERNACK",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "CCSW C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "04851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
- Passley Consulting & Pyschological SVC
- Josef A Passley, LCPC
- Robert Scott Passman
- Passport Health Holdings, LLC (Passport Health)
- Diana Lynn Passwaters, CRNP
- Patapsco Eye MDS, LLC
- Patapsco Family Psychiatry LLC
- Patapsco Health & Rehab LLC (Patapsco Integrative Medicine & Rehab)
- Dharti P. Patel Christo
- Aaliyna Chaitanya Patel
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.