Active NPI
Gustavo Segura Hernandez, PHD, MP, ABPP
- Prescribing (Medical) Psychologist
- Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- 334132
- Practice address
- 1502 Stubbs Ave
Monroe, LA 71201-5628 - Phone
- (727) 834-0034
- Fax
- (318) 323-8757
- NPI assigned
- Sep 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PY9350 | FL | |
| Clinical Psychologist | 103TC0700X | PY9350 | FL | |
| Prescribing (Medical) Psychologist | 103TP0016X | 334132 | LA | Primary |
Addresses
Primary practice location
1502 Stubbs Ave
Monroe, LA 71201-5628
Mailing address
1340 Poydras St Ste 1770
New Orleans, LA 70112-5204
Phone (727) 834-0034
Other practice location 1
1645 Palm Beach Lakes Blvd Ste 1200
West Palm Beach, FL 33401-2214
Phone (727) 834-0034
Other practice location 2
1340 Poydras St Ste 1770
New Orleans, LA 70112-5204
Phone (727) 834-0034
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY9350 | FL | MD | Cognitive & Behavioral Psychologist |
| 334132 | LA | MD | Prescribing (Medical) Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelicano, LLC | Cognitive & Behavioral | Current | Accepting new patients |
Locations
1645 Palm Beach Lakes Blvd
Ste 1200
West Palm Beach, FL 33401
Phone (561) 257-1877
1340 Poydras St
Ste 1770
New Orleans, LA 70112
Phone (561) 897-3384
Organizations & group practices 1
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.
-
- Prescribing (Medical) Psychologist
- New Orleans, LA
- NPI 1902618077
Cognitive & Behavioral
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1760799886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 POYDRAS ST STE 1770",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701125204",
"telephone_number": "727-834-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 STUBBS AVE",
"city": "MONROE",
"state": "LA",
"postal_code": "712015628",
"telephone_number": "727-834-0034",
"fax_number": "318-323-8757"
}
],
"practiceLocations": [
{
"address_1": "1645 Palm Beach Lakes Blvd Ste 1200",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334012214",
"country_code": "US",
"telephone_number": "727-834-0034",
"fax_number": "727-609-6262",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1340 Poydras St Ste 1770",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701125204",
"country_code": "US",
"telephone_number": "727-834-0034",
"fax_number": "727-609-6262",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEGURA HERNANDEZ",
"first_name": "GUSTAVO",
"name_prefix": "Dr.",
"credential": "PHD, MP, ABPP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-10",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "FL",
"license": "PY9350",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY9350",
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "LA",
"license": "334132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.