Individual provider Active NPI

Melissa Isabel Segarra, DR

  • Clinical Psychologist
  • Mayaguez, PR
National Provider Identifier
1972079929
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8291 Issued in PR
Practice address
55 Calle Meditacion Ste 9B
Mayaguez, PR 00680-4850
Phone
(939) 454-0762
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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 8291 PR Primary

Addresses

Primary practice location

55 Calle Meditacion Ste 9B
Mayaguez, PR 00680-4850

Mailing address

PO Box 2401
Anasco, PR 00610-8401
Phone (787) 546-3925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8291PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Metacognitiva, LLC CurrentSince Aug 10, 2025 Accepting new patients
Tiber Health, Public Benefit Corporation PastSince Sep 29, 2024 Accepting new patients

Locations

55 Calle Meditacion
Ste 9B
Mayaguez, PR 00680
Phone (787) 547-6255

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": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1972079929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2401",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006108401",
            "telephone_number": "787-546-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE MEDITACION STE 9B",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804850",
            "telephone_number": "939-454-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGARRA",
        "first_name": "MELISSA",
        "middle_name": "ISABEL",
        "name_prefix": "Miss",
        "credential": "DR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.