Individual provider Active NPI

Adnil-Michelle Mulero Segui, PHD

  • Clinical Psychologist
  • Austin, TX
National Provider Identifier
1154031573
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
39554 Issued in TX
Practice address
2716 Barton Creek Blvd Apt 322
Austin, TX 78735-1670
Phone
(787) 487-5533
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 39554 TX Primary

Addresses

Primary practice location

2716 Barton Creek Blvd Apt 322
Austin, TX 78735-1670

Mailing address

2716 Barton Creek Blvd Apt 322
Austin, TX 78735-1670
Phone (787) 487-5533

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
39554TXMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1154031573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 BARTON CREEK BLVD APT 322",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787351670",
            "telephone_number": "787-487-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 BARTON CREEK BLVD APT 322",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787351670",
            "telephone_number": "787-487-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULERO SEGUI",
        "first_name": "ADNIL-MICHELLE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.