Organization Active NPI

Corina Segal Mental Health Counseling, P.C.

Doing business as Stony Brook Mental Health Counseling

  • Mental Health Counselor
  • Stony Brook, NY
National Provider Identifier
1346002300
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CORINA SEGAL MENTAL HEALTH COUNSELING, P.C.
Doing business as
Stony Brook Mental Health Counseling
Practice address
2500 Nesconset Hwy BLDG 4B
Stony Brook, NY 11790-2551
Phone
(631) 903-1087
NPI assigned
Jan 25, 2024
Last updated
Jan 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Ms. Corina Segal, LMHCNPI 1497400519
Title
President
Phone
(631) 903-1087

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

2500 Nesconset Hwy BLDG 4B
Stony Brook, NY 11790-2551

Mailing address

2500 Nesconset Hwy BLDG 4B
Stony Brook, NY 11790-2551
Phone (631) 903-1087

Other names 1

  • Stony Brook Mental Health Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250610002450 NY Part B Supplier - Clinic/Group Practice 6406366335 Receives reassigned benefits from 1 practitioner
Practice locations: Stony Brook, NY

National Provider Directory

National Provider Directory

Locations

2500 Nesconset Hwy
Bldg 4B
Stony Brook, NY 11790
Phone (631) 675-2700

2500 Nesconset Hwy
Ste B
Stony Brook, NY 11790
Phone (631) 903-1087

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1346002300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 4B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902551",
            "telephone_number": "631-903-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 4B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902551",
            "telephone_number": "631-903-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORINA SEGAL MENTAL HEALTH COUNSELING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "CORINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-903-1087",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stony Brook Mental Health Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.