Active NPI
Steven Louis Pastyrnak, PHD
- Clinical Child & Adolescent Psychologist
- Grand Rapids, MI
National Provider Identifier
1760434997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 6301010488
- Practice address
- 35 Michigan St NE Ste 5201
Grand Rapids, MI 49503-2514 - Phone
- (616) 267-2830
- Fax
- (616) 267-9024
- NPI assigned
- May 16, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6301010488 | MI | Primary |
Addresses
Primary practice location
35 Michigan St NE Ste 5201
Grand Rapids, MI 49503-2514
Mailing address
100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Steve.Pastyrnak@epic00.shdirect.org | ||
| FHIR URL | https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/ |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301010488 | MI | MD | Clinical Child & Adolescent Psychologist |
Interoperability endpoints
- steve.pastyrnak@epic00.shdirect.org
- spastyrnak4385@epic00.corewelldirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1760434997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE",
"address_2": "MC 845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MICHIGAN ST NE STE 5201",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032514",
"telephone_number": "616-267-2830",
"fax_number": "616-267-9024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTYRNAK",
"first_name": "STEVEN",
"middle_name": "LOUIS",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MI",
"license": "6301010488",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Steve.Pastyrnak@epic00.shdirect.org",
"affiliation": "N",
"address_1": "35 Michigan St NE Ste 5201",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495032514",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "35 Michigan St NE Ste 5201",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495032514",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.