Vicki Lynn Seglin, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

545 Lincoln Ave
Suite 15
Winnetka, IL 60093-2349

Phone

(847) 441-0120

Fax

(847) 441-4993

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235256496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 LINCOLN AVE",
            "address_2": "SUITE 15",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932349",
            "telephone_number": "847-441-0120",
            "fax_number": "847-441-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 LINCOLN AVE",
            "address_2": "SUITE 15",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932349",
            "telephone_number": "847-441-0120",
            "fax_number": "847-441-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGLIN",
        "first_name": "VICKI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Winnetka, IL
• Providers in Winnetka, IL by specialty
• Clinical Psychologist in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.