Active NPI
Howard Michael Segal, M.D.
- Psychiatry Physician
- Northbrook, IL
National Provider Identifier
1790809747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036086374
- Practice address
- 450 Skokie Blvd
Suite 504
Northbrook, IL 60062-7909 - Phone
- (847) 509-8642
- Fax
- (773) 832-1662
- NPI assigned
- Mar 16, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 036086374 | IL | |
| Psychiatry Physician | 2084P0800X | 036086374 | IL | Primary |
Addresses
Primary practice location
450 Skokie Blvd
Suite 504
Northbrook, IL 60062-7909
Mailing address
450 Skokie Blvd
Suite 504
Northbrook, IL 60062-7909
Phone (847) 509-8642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457308800000",
"number": "1790809747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 SKOKIE BLVD",
"address_2": "SUITE 504",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600627909",
"telephone_number": "847-509-8642",
"fax_number": "773-832-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 SKOKIE BLVD",
"address_2": "SUITE 504",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600627909",
"telephone_number": "847-509-8642",
"fax_number": "773-832-1662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGAL",
"first_name": "HOWARD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2016-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IL",
"license": "036086374",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036086374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.