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1154658136 NPI number — JAY M. PASTERNACK LMHC

NPI Number: 1154658136
Health Care Provider/Practitioner: JAY M. PASTERNACK LMHC

Information about “1154658136” NPI (JAY M. PASTERNACK LMHC) exists in 1154658136 in HTML format HTML  |  1154658136 in plain Text format TXT  |  1154658136 in PDF (Portable Document Format) PDF  |  1154658136 in an XML format XML  formats.

NPI Number : 1154658136 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154658136",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PASTERNACK",
    "FirstName": "JAY",
    "MiddleName": "M.",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "LMHC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "30 LOCUST ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTHAMPTON",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01060-2052",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "413-582-2156",
    "MailingAddressFaxNumber": "413-582-2865",
    "FirstLinePracticeLocationAddress": "30 LOCUST ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTHAMPTON",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01060-2052",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "413-582-2156",
    "PracticeLocationAddressFaxNumber": "413-582-2865",
    "EnumerationDate": "11/11/2009",
    "LastUpdateDate": "11/11/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101Y00000X",
        "TaxonomyName": "Counselor",
        "LicenseNumber": "3335",
        "LicenseNumberStateCode": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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