| Segel Psychological Center | |
|
4851 W Hillsboro Blvd A1 Coconut Creek FL 33073-4355 | |
| (954) 428-6020 | |
| (954) 428-6022 |
| Full Name | Segel Psychological Center |
|---|---|
| Speciality | Psychologist |
| Location | 4851 W Hillsboro Blvd, Coconut Creek, Florida |
| Authorized Official Name and Position | Martin D Segel (PSYCHOLOGIST) |
| Authorized Official Contact | 9544286020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Segel Psychological Center 4851 W Hillsboro Blvd A1 Coconut Creek FL 33073-4355 Ph: (954) 428-6020 | Segel Psychological Center 4851 W Hillsboro Blvd A1 Coconut Creek FL 33073-4355 Ph: (954) 428-6020 |
| NPI Number | 1891974317 |
|---|---|
| Provider Enumeration Date | 10/31/2007 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/17/2024 |
| Medicare PECOS PAC ID | 9638078454 |
|---|---|
| Medicare Enrollment ID | O20031231000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891974317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY5564 (Florida) | Primary |
| Provider Name | Martin D Segel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689732562 PECOS PAC ID: 2163321985 Enrollment ID: I20110329000581 |
| Provider Name | Jerrod K Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780928556 PECOS PAC ID: 4082930938 Enrollment ID: I20150311002367 |
| Provider Name | Kelley Gill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083087456 PECOS PAC ID: 4981982758 Enrollment ID: I20161028001640 |
| Provider Name | Gesenia Sloan-pena |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437380490 PECOS PAC ID: 7911263165 Enrollment ID: I20171104000173 |
| Provider Name | Marissa Roecklein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871003962 PECOS PAC ID: 1052673308 Enrollment ID: I20180326001340 |
| Provider Name | Stefania M Dannacher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730698713 PECOS PAC ID: 9032447370 Enrollment ID: I20190823001162 |
| Provider Name | Kaci Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437815644 PECOS PAC ID: 6507256617 Enrollment ID: I20211203002481 |
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