Individual provider Active NPI

Inara K Segal, PH.D.

  • Psychologist
  • Butler, NJ
National Provider Identifier
1093729303
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00171300 Issued in NJ
Practice address
1250 Route 23 North
Suite 5
Butler, NJ 07405-2002
Phone
(973) 492-8700
Fax
(973) 492-7670
NPI assigned
Jul 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00171300 NJ Primary

Addresses

Primary practice location

1250 Route 23 North
Suite 5
Butler, NJ 07405-2002

Mailing address

1250 Route 23 North
Suite 5
Butler, NJ 07405-2002
Phone (973) 492-8700

Other identifiers 4

IdentifierTypeStateIssuer
105663OtherNJMHN
IP030586OtherNJMAGELLAN
35SI00171300OtherNJPSYCHOLOGIST LICENSE #
IS130OtherOXFORD ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050602000041 NJ Practitioner - Clinical Psychologist 9133162035 Practice locations: Butler, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1250 Route 23 No
Suite 5
Butler, NJ 07405-2002

1250 Rte 23
Suite 5
Butler, NJ 07405-2002
Phone (973) 492-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00171300NJMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093729303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 ROUTE 23 NORTH",
            "address_2": "SUITE 5",
            "city": "BUTLER",
            "state": "NJ",
            "postal_code": "074052002",
            "telephone_number": "973-492-8700",
            "fax_number": "973-492-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 ROUTE 23 NORTH",
            "address_2": "SUITE 5",
            "city": "BUTLER",
            "state": "NJ",
            "postal_code": "074052002",
            "telephone_number": "973-492-8700",
            "fax_number": "973-492-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "INARA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00171300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "105663",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "IP030586",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE #",
            "identifier": "35SI00171300",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID",
            "identifier": "IS130",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, NJ

Sources for this page

Verify at the official NPI Registry.