Active NPI
Chaya Rachel Segel, MA, CCC-SLP
- Speech-Language Pathologist
- Baltimore, MD
National Provider Identifier
1003393836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 08564
- Practice address
- 104 Church LN Ste 203
Baltimore, MD 21208-3845 - Phone
- (410) 849-9496
- NPI assigned
- Jul 24, 2018
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 08564 | MD | Primary |
Addresses
Primary practice location
104 Church LN Ste 203
Baltimore, MD 21208-3845
Mailing address
3911 Pinkney Rd
Baltimore, MD 21215-3416
Phone (847) 868-4422
Other practice location 1
3911 Pinkney Rd
Baltimore, MD 21215-3416
Phone (847) 868-4422
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08564 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1003393836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 PINKNEY RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212153416",
"telephone_number": "847-868-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 CHURCH LN STE 203",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212083845",
"telephone_number": "410-849-9496"
}
],
"practiceLocations": [
{
"address_1": "3911 Pinkney Rd",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212153416",
"country_code": "US",
"telephone_number": "847-868-4422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEGEL",
"first_name": "CHAYA",
"middle_name": "RACHEL",
"name_prefix": "Miss",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-24",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "08564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.