Active NPI
Mary Christine Segreto, D.O.
- Psychiatry Physician
- Fort Dodge, IA
National Provider Identifier
1083681944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 02806
- Practice address
- 720 Kenyon Rd
North Central Iowa Mental Health Center Inc Dba Unitypo
Fort Dodge, IA 50501-5759 - Phone
- (515) 955-7171
- Fax
- (515) 573-7898
- NPI assigned
- Mar 1, 2006
- 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 | 02806 | IA | Primary |
Addresses
Primary practice location
720 Kenyon Rd
North Central Iowa Mental Health Center Inc Dba Unitypo
Fort Dodge, IA 50501-5759
Mailing address
720 Kenyon Rd
North Central Iowa Mental Health Center Inc Dba Unitypo
Fort Dodge, IA 50501-5759
Phone (515) 955-7171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0159608 | Medicaid | IA | |
| 07466 | Other | IA | WELLMARK BCBS |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02806 | IA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Central Iowa Mental Health Center, Inc | Past | Accepting new patients | |
| Northwest Iowa Mental Health Center | Past | Accepting new patients | |
| North Central Iowa Mental Health Center Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Dodge, IA
- NPI 1922188606
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Dodge, IA
- NPI 1871910588
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Spencer, IA
- NPI 1356198675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1083681944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 KENYON RD",
"address_2": "NORTH CENTRAL IOWA MENTAL HEALTH CENTER INC DBA UNITYPO",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505015759",
"telephone_number": "515-955-7171",
"fax_number": "515-573-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 KENYON RD",
"address_2": "NORTH CENTRAL IOWA MENTAL HEALTH CENTER INC DBA UNITYPO",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505015759",
"telephone_number": "515-955-7171",
"fax_number": "515-573-7898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGRETO",
"first_name": "MARY",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-01",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IA",
"license": "02806",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0159608",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "07466",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Dodge, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.