Individual provider Active NPI

Judy Leanne Seguin, PSYD

  • Clinical Psychologist
  • Clearwater, FL
National Provider Identifier
1891183364
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0003966 Issued in CO
Practice address
19347 US Highway 19 N Apt 111
Clearwater, FL 33764-3305
Phone
(970) 657-0094
NPI assigned
Jan 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY.0003966 CO Primary

Addresses

Primary practice location

19347 US Highway 19 N Apt 111
Clearwater, FL 33764-3305

Mailing address

19347 US Highway 19 N Apt 111
Clearwater, FL 33764-3305
Phone (970) 657-0094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150512000939 CO Practitioner - Clinical Psychologist 4486973500 Reassigns benefits to 1 organization
I20260113000129 FL Practitioner - Clinical Psychologist 4486973500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1027 Blue Spruce Dr
Loveland, CO 80538-2870
Phone (970) 657-0094

710 N Lemon Ave
Unit 359
Sarasota, FL 34236-4297
Phone (970) 657-0094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY.0003966COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Leanne Seguin, LLC Clinical CurrentSince Apr 21, 2015 Accepting new patients
Family Physical Therapy Center, P.C. Past Accepting new patients

Locations

109 W Olive St
Fort Collins, CO 80524
Phone (970) 231-1656

109 Coronado Ct
Bldg 7
Fort Collins, CO 80525
Phone (970) 335-9190

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1891183364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19347 US HIGHWAY 19 N APT 111",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337643305",
            "telephone_number": "970-657-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19347 US HIGHWAY 19 N APT 111",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337643305",
            "telephone_number": "970-657-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGUIN",
        "first_name": "JUDY",
        "middle_name": "LEANNE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0003966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.