NPIMap

Organization Active NPI

Martin D Segel PH.D.

  • Psychologist
  • Coconut Creek, FL
National Provider Identifier
1891974317
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5564 Issued in FL
Legal business name
MARTIN D SEGEL PH.D.
Practice address
4851 W Hillsboro Blvd
A1
Coconut Creek, FL 33073-4355
Phone
(954) 428-6020
Fax
(954) 428-6022
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Dr. Martin D Segel, PHDNPI 1689732562
Title
Psychologist
Phone
(954) 428-6020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PY5564 FL Primary

Addresses

Primary practice location

4851 W Hillsboro Blvd
A1
Coconut Creek, FL 33073-4355

Mailing address

4851 W Hillsboro Blvd
A1
Coconut Creek, FL 33073-4355
Phone (954) 428-6020

Other names 2

  • Martin D. Segel, Ph.D. & Associates Doing business as
  • Segel Psychological Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031231000206 FL Part B Supplier - Clinic/Group Practice 9638078454 Receives reassigned benefits from 5 practitioners
Practice locations: Coconut Creek, FL

National Provider Directory

National Provider Directory

Locations

9250 Glades Rd
Ste 109
Boca Raton, FL 33434
Phone (561) 558-8333

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1891974317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 W HILLSBORO BLVD",
            "address_2": "A1",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734355",
            "telephone_number": "954-428-6020",
            "fax_number": "954-428-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 W HILLSBORO BLVD",
            "address_2": "A1",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734355",
            "telephone_number": "954-428-6020",
            "fax_number": "954-428-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN D SEGEL PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "SEGEL",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "954-428-6020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin D. Segel, Ph.D. & Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Segel Psychological Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.