Mary-Catherine Segota, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7123 Issued in FL

Practice address

13350 W Colonial Dr
Suite 340
Winter Garden, FL 34787-3964

Phone

(407) 654-4433

Fax

(407) 926-0209

NPI assigned

May 21, 2008

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

Enrolled in FL

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Counseling Resource Services, Inc.Group PAC ID 3779884093, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Counseling Resource Services, Inc.

  • Community/Behavioral Health Agency
  • Winter Garden, FL
  • NPI 1164819041
  Medicare reassignment Care Compare group NPD
• Mary Catherine Segota PSYD PA

  • Clinical Psychologist
  • Winter Garden, FL
  • NPI 1598180119
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1376700740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13350 W COLONIAL DR",
            "address_2": "SUITE 340",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873964",
            "telephone_number": "407-654-4433",
            "fax_number": "407-926-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13350 W COLONIAL DR",
            "address_2": "SUITE 340",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873964",
            "telephone_number": "407-654-4433",
            "fax_number": "407-926-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGOTA",
        "first_name": "MARY-CATHERINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.