Active NPI
Angela Segal, PH.D
- Psychologist
- Chevy Chase, MD
National Provider Identifier
1043567308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 05011
- Practice address
- 4701 Willard Ave
Suite 227
Chevy Chase, MD 20815-4643 - Phone
- (301) 219-5917
- NPI assigned
- Aug 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 05011 | MD | Primary |
Addresses
Primary practice location
4701 Willard Ave
Suite 227
Chevy Chase, MD 20815-4643
Mailing address
4440 Willard Ave
Suite 1113
Chevy Chase, MD 20815-3611
Phone (301) 219-5917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 24, 2025 through Mar 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05011 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344211200000",
"number": "1043567308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4440 WILLARD AVE",
"address_2": "SUITE 1113",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153611",
"telephone_number": "301-219-5917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 WILLARD AVE",
"address_2": "SUITE 227",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208154643",
"telephone_number": "301-219-5917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGAL",
"first_name": "ANGELA",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-06",
"last_updated": "2012-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "05011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.