Individual provider Active NPI

Cynthia Segarra, PSYD

  • Clinical Neuropsychologist
  • Mayaguez, PR
National Provider Identifier
1093943581
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
3453 Issued in PR
Practice address
55 Calle Meditacion
Centro de Servicios Medicos 9B
Mayaguez, PR 00680
Phone
(787) 547-6255
Fax
(939) 454-0762
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3453 PR
Clinical Neuropsychologist 103G00000X 3453 PR Primary

Addresses

Primary practice location

55 Calle Meditacion
Centro de Servicios Medicos 9B
Mayaguez, PR 00680

Mailing address

PO Box 3286
Mayaguez, PR 00681-3286
Phone (787) 547-6255

Other practice location 1

Calle Estrella esquina Salud
Ponce, PR 00730
Phone (787) 547-6255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20160504001967 PR Order and Referring Only - Clinical Psychologist 5193024651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3453PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Metacognitiva, LLC CurrentSince May 7, 2024 Accepting new patients

Locations

55 Calle Meditacion
Ste 9B
Mayaguez, PR 00680
Phone (787) 547-6255

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1093943581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3286",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813286",
            "telephone_number": "787-547-6255",
            "fax_number": "757-652-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE MEDITACION",
            "address_2": "CENTRO DE SERVICIOS MEDICOS 9B",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-547-6255",
            "fax_number": "939-454-0762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Estrella esquina Salud",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "00730",
            "country_code": "US",
            "telephone_number": "787-547-6255",
            "fax_number": "939-454-0762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGARRA",
        "first_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3453",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PR",
            "license": "3453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.