Second Genesis Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

CRF-000125 Issued in DC

Legal business name

SECOND GENESIS INC

Practice address

1320 Harvard St NW
Washington, DC 20009-4904

Phone

(202) 222-0120

NPI assigned

Jul 2, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Mark Segal, LCSW-C

Title

Director of Clinical Operations

Phone

(301) 563-1545

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1134483464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 HARVARD ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094904",
            "telephone_number": "202-222-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 HARVARD ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094904",
            "telephone_number": "202-222-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND GENESIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "301-563-1545",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "DC",
            "license": "CRF-000125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genet Sebsibe
• Cristina M Secarea, M.D
• Rokie R Secka
• Second Chance II Inc.
• Second Genesis
• Sector Medical Group
• Shirin Sedaghat, MD
• Leslie Haile Seddon, N. P.
• Yetunde Sedegbe, RN
• Brandon Arman Sedgewick, MD

• Substance Abuse Rehabilitation Facility in Washington, DC
• Providers in Washington, DC by specialty
• Substance Abuse Rehabilitation Facility in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.