Active NPI
Ofra Sarid-Segal, MD
- Psychiatry Physician
- Lynn, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 71990
- Practice address
- 20 Central Ave
Lynn, MA 01901-1201 - Phone
- (781) 477-7222
- Fax
- (781) 598-1050
- NPI assigned
- Jul 16, 2006
- Last updated
- Oct 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 71990 | MA | Primary |
Addresses
Primary practice location
20 Central Ave
Lynn, MA 01901-1201
Mailing address
269 Union St
Lynn, MA 01901-1314
Phone (781) 596-2502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110060553A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71990 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lynn Community Health, Inc. | Current | Accepting new patients | |
| Mount Auburn Hospital | Current | Accepting new patients |
Locations
330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054
20 Central Ave
Lynn, MA 01901
Phone (781) 477-7222
20 Central Ave
Fl 1
Lynn, MA 01901
Phone (781) 691-7137
269 Union St
Lynn, MA 01901
Phone (781) 581-9832
280 Union St
Ste 202
Lynn, MA 01901
Phone (781) 780-4555
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Lynn, MA
- NPI 1013997691
-
- Psychiatric Hospital Unit
- Cambridge, MA
- NPI 1649254491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1275550097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 UNION ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019011314",
"telephone_number": "781-596-2502",
"fax_number": "781-596-3966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CENTRAL AVE",
"city": "LYNN",
"state": "MA",
"postal_code": "019011201",
"telephone_number": "781-477-7222",
"fax_number": "781-598-1050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARID-SEGAL",
"first_name": "OFRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "71990",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110060553A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.