Active NPI
Pelicano, LLC
- Prescribing (Medical) Psychologist
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- Legal business name
- PELICANO, LLC
- Practice address
- 1340 Poydras St Ste 1770
New Orleans, LA 70112-5204 - Phone
- (727) 834-0034
- NPI assigned
- Jan 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gustavo Segura Hernandez, PHD
- Title
- Psychologist
- Phone
- (727) 834-0034
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Psychologist | 103TC0700X | |||
| Prescribing (Medical) Psychologist | 103TP0016X | Primary |
Addresses
Primary practice location
1340 Poydras St Ste 1770
New Orleans, LA 70112-5204
Mailing address
1645 Palm Beach Lakes Blvd Ste 1200
West Palm Beach, FL 33401-2214
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 names 1
- Pelicano, LLC Group
National Provider Directory
National Provider DirectoryLocations
1340 Poydras St
Ste 1770
New Orleans, LA 70112
Phone (561) 897-3384
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prescribing (Medical) Psychologist
- Monroe, LA
- NPI 1760799886
Cognitive & Behavioral
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742342400000",
"number": "1902618077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1645 PALM BEACH LAKES BLVD STE 1200",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012214",
"telephone_number": "727-834-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 POYDRAS ST STE 1770",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701125204",
"telephone_number": "727-834-0034"
}
],
"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",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PELICANO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-24",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A",
"authorized_official_last_name": "SEGURA HERNANDEZ",
"authorized_official_first_name": "GUSTAVO",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "727-834-0034",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Prescribing (Medical)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pelicano, LLC Group",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.