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JAN DAVID SEGAL PHD
NPI 1689556193
Psychologist - Clinical in Passaic, NJ

Active since July 24, 2025PECOS EnrolledAccepts Medicare Assignment
85 CRESCENT AVE, PASSAIC, NJ 07055(973) 264-0023(973) 264-0022 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jan David Segal Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAN DAVID SEGAL PHD (NPI 1689556193) is an individual clinical provider in Passaic, New Jersey, licensed in New Jersey (35SI00379500) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1689556193
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJAN DAVID SEGALCredential: PHD
Location Address85 CRESCENT AVEPassaic, NJ 07055-2437
Mailing Address2719 Hollywood Blvd Ste 5469Hollywood, FL 33020-4821 · (973) 264-0023 · Fax (973) 264-0022
Phone(973) 264-0023
Fax(973) 264-0022
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1689556193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NJ · 35SI00379500
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
85 CRESCENT AVE, Passaic, NJ 07055
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jan David Segal Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032627302
PECOS Enrollment IDI20250806002986
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROSANNE MORENO PSY.D.
Psychologist (Clinical)
85 CRESCENT AVE
PASSAIC, NJ 07055
Passaic County (973) 264-0023
LISA ANN LUSSIER LCSW
Social Worker (Clinical)
85 CRESCENT AVE
PASSAIC, NJ 07055
Passaic County (973) 264-0022
DR. CAROLYN SEGAL PH.D.
Psychologist
85 CRESCENT AVE
PASSAIC, NJ 07055
Passaic County (973) 264-0023
KELLY EID LCSW
Social Worker (Clinical)
85 CRESCENT AVE
PASSAIC, NJ 07055
Passaic County (973) 264-0023
MANREET KAUR LSW
Social Worker
85 CRESCENT AVE
PASSAIC, NJ 07055
Passaic County (973) 264-0023
MS. LISA TORDO LCSW
Social Worker (Clinical)
85 CRESCENT AVE
PASSAIC, NJ 07055
Passaic County (973) 931-2276
MS. DEIRDRE MARGUERITE KEEGAN L.C.S.W.
Social Worker (Clinical)
85 CRESCENT AVE
PASSAIC, NJ 07055
Passaic County (973) 931-2276
DR. MICHAEL J ATLAS PSY. D.
Psychologist
85 CRESCENT AVE
PASSAIC, NJ 07055
Passaic County (973) 931-2276

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jan Segal's NPI number?

The NPI number for Jan Segal is 1689556193. It was assigned to this individual provider in the NPPES registry on July 24, 2025.

Where is Jan Segal located?

Jan Segal practices at 85 Crescent Ave, Passaic, NJ 07055. The listed phone number is (973) 264-0023.

What is Jan Segal's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jan Segal enrolled in Medicare?

Yes. Jan Segal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jan Segal was last updated on July 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.