Mark H Seglin, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2138 Issued in NJ

Practice address

89 Lapis Cir
West Orange, NJ 07052-2154

Phone

(973) 325-3131

Fax

(973) 645-9894

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1983

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Activity and Human Performance Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jersey City, NJ
  • NPI 1407181472
  Medicare reassignment Authorized official
• Activity & Human Performance Center, LLC

  • Psychologist
  • West Orange, NJ
  • NPI 1174857544
  NPD Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184754632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32396",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07102",
            "telephone_number": "973-325-3131",
            "fax_number": "973-645-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 LAPIS CIR",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522154",
            "telephone_number": "973-325-3131",
            "fax_number": "973-645-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGLIN",
        "first_name": "MARK",
        "middle_name": "H",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "2138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1596306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Coretta Scott
• Judith L Seavy, AUDIOLOGIST
• Desiree L.D. Seburn-Williamson
• Candace Kyriaki Sedereas, DPT
• Nicolle Segarra, PA-C
• Savannah Segovia, CD
• Michael K Seidenstein, M.D.
• Mia Capozella Seiger, DMD
• Danielle Seltzer, MD
• Gerda Senatus

• Psychologist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.