Theresa Segura-Herrera, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.008568 Issued in IL

Practice address

6250 W North Ave
1St FL
Chicago, IL 60639-3861

Phone

(312) 909-1007

Fax

(773) 327-4542

NPI assigned

Apr 15, 2013

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Centro Castillo for Personal and Family Wellbeing, LLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1598942484
  NPD (past)

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1871936377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 N CLARENDON AVE",
            "address_2": "SUITE 2110",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132698",
            "telephone_number": "312-909-1007",
            "fax_number": "773-327-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 W NORTH AVE",
            "address_2": "1ST FL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393861",
            "telephone_number": "312-909-1007",
            "fax_number": "773-327-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGURA-HERRERA",
        "first_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Segoviano
• Maria Segoviano
• Madison Paige Segrin, PA-C
• Paola Seguil, M.S., R.D., L.D.N.
• Alexandra Seguin
• Pedro Juan Carlos Segura-Moore, ALMFT
• Enrique Segura
• Jose Segura, MPT
• Julianna Gal Segura, FT MS
• Neha Sehgal, DO

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.