Active NPI
Yolanda Doria Segal, PSYD
- Clinical Psychologist
- Vail, AZ
National Provider Identifier
1144460072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY005247
- Practice address
- 10420 S Painted Mare Dr
Vail, AZ 85641-6830 - Phone
- (202) 731-0776
- NPI assigned
- Mar 5, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PRC14023 | DC | |
| Clinical Psychologist | 103TC0700X | PSY005247 | AZ | Primary |
Addresses
Primary practice location
10420 S Painted Mare Dr
Vail, AZ 85641-6830
Mailing address
PO Box 481
Vail, AZ 85641-0481
Phone (202) 731-0776
Other practice location 1
413 12th St SE
Washington, DC 20003-2209
Phone (202) 731-0776
Other names 1
- Dr. Yolanda Beatriz Doria
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY005247 | AZ | MD | Clinical Psychologist |
| PRC14023 | DC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfax Mental Health & Wellness | Professional | Past | Accepting new patients |
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": "1236211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585612800000",
"number": "1144460072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 481",
"city": "VAIL",
"state": "AZ",
"postal_code": "856410481",
"telephone_number": "202-731-0776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10420 S PAINTED MARE DR",
"city": "VAIL",
"state": "AZ",
"postal_code": "856416830",
"telephone_number": "202-731-0776"
}
],
"practiceLocations": [
{
"address_1": "413 12th St SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200032209",
"country_code": "US",
"telephone_number": "202-731-0776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEGAL",
"first_name": "YOLANDA",
"middle_name": "DORIA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-05",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PRC14023",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "PSY005247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YOLANDA",
"last_name": "DORIA",
"middle_name": "BEATRIZ",
"prefix": "DR.",
"credential": "PSYD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Vail, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.