MARK H SEGLIN (NPI# 1184754632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184754632 |
| Entity Type | Individual |
| Full Name | MARK H SEGLIN |
| Credential | PH.D. |
| Practice Address |
89 Lapis Cir West Orange NJ 07052-2154 |
| Mailing Address |
Po Box 32396 Newark NJ 07102 |
| Practice Telephone | 9733253131 |
| Practice Fax Number | 9736459894 |
| Mailing Telephone | 9733253131 |
| Mailing Fax Number | 9736459894 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2138 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1596306 | 05 |
| Street Address |
89 LAPIS CIR |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174857544 | Activity & Human Performance Center, LLC | Health Maintenance Organization | 89 Lapis Cir, West Orange, NJ 07052-2154 | 2009-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730278 | Robert Jason Lipka | Pharmacist | Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 | 2020-08-12 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1508336140 | Total Family Solutions, LLC | Community/Behavioral Health | 80 Main Street Suite 410, West Orange, NJ 07052 | 2018-11-27 |
| 1639660202 | Valeria Ripa | Student in an Organized Health Care Education/Training Program | 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 | 2018-05-19 |
| 1316441967 | Ariel Yehdua Pedoeem | Student in an Organized Health Care Education/Training Program | 139 Riverside Drive, Binghamton, NY 07052 | 2018-03-20 |
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1962911578 | Anchor Behavioral Solutions LLC | Community/Behavioral Health | 59 Main St Ste 310, West Orange, NJ 07052 | 2017-09-26 |
| 1710400411 | Rohma Shaikh | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 | 2017-07-25 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1073065777 | Livia Derdova | Optometrist | 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 | 2016-10-28 |
| Find all providers in zip 07052 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750904090 | Sandra S. Lee | Psychologist | 236 Crescenzi Ct, West Orange, NJ 07052-4136 | 2020-05-21 |
| 1407319205 | Lichtman & Lichtman LLC | Psychologist | 60 Stanford Ave, West Orange, NJ 07052-2048 | 2019-04-09 |
| 1780140012 | Wellbeing Psychology LLC | Psychologist | 623 Eagle Rock Ave Ste 1, West Orange, NJ 07052-2948 | 2019-02-12 |
| 1720454002 | Lauren Poleyeff | Psychologist | 41 Rosemont Ter, West Orange, NJ 07052-2216 | 2015-08-20 |
| 1003181710 | Shelley Lynn Carroll | Psychologist | 349 Gregory Ave, West Orange, NJ 07052-3704 | 2012-03-13 |
| 1639207251 | Cheryl Fuss Kleefeld | Psychologist | Greenwood Ave, West Orange, NJ 07052-2011 | 2007-03-02 |
| 1376681858 | Helen Lichtman | Psychologist | 31 Lakeview Dr, West Orange, NJ 07052-2016 | 2007-02-05 |
| 1215097274 | Charles Vincent Pumilia | Psychologist | 769 Northfield Ave Ste Ll6, West Orange, NJ 07052-1106 | 2006-12-11 |
| 1730123233 | Meryl Weinman Dorf | Psychologist | 395 Pleasant Valley Way, West Orange, NJ 07052 | 2006-06-15 |
| 1629622477 | Dr Tayeba Shaikh | Psychologist | 623 Eagle Rock Ave, West Orange, NJ 07052-2948 | 2019-07-30 |
| Find all providers in WEST ORANGE | ||||
| City | WEST ORANGE |
| Zip Code | 07052 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.