Individual provider Active NPI

Ytamar Segall, MA, BCBA

  • Behavior Analyst
  • Surfside, FL
National Provider Identifier
1558816645
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-29543
Practice address
624 91St St
Surfside, FL 33154-3131
Phone
(702) 374-7148
NPI assigned
Aug 18, 2016
Last updated
Jun 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-29543 Primary
Assistant Behavior Analyst 106E00000X 0-17-8022 NV
Behavior Technician 106S00000X RBT1624285 NV

Addresses

Primary practice location

624 91St St
Surfside, FL 33154-3131

Mailing address

624 91St St
Surfside, FL 33154-3131
Phone (702) 374-7148

Other practice location 1

408 S Jones Blvd
Las Vegas, NV 89107-2658
Phone (702) 496-1367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
RBT1624285NVMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Applied Behavior Analysis CurrentSince Mar 16, 2021 Accepting new patients
Partners in Behavior Behavior Analyst CurrentSince Jun 28, 2020 Accepting new patients
New Patterns FL LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1558816645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 91ST ST",
            "city": "SURFSIDE",
            "state": "FL",
            "postal_code": "331543131",
            "telephone_number": "702-374-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 91ST ST",
            "city": "SURFSIDE",
            "state": "FL",
            "postal_code": "331543131",
            "telephone_number": "702-374-7148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 S Jones Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891072658",
            "country_code": "US",
            "telephone_number": "702-496-1367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGALL",
        "first_name": "YTAMAR",
        "credential": "MA, BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-18",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-29543",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NV",
            "license": "0-17-8022",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT1624285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surfside, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.