Overview
Krystel Segovia is a clinical psychologist enrolled with Centers for Medicare & Medicaid Services (CMS). The organization name is RISING PHOENIX MENTAL HEALTH PLLC. The business address is 745 Mcclintock Dr, Suite 100, Burr Ridge, IL 60527-0863. Published on February 8, 2023.
Enrollment Information
NPI | 1154034650 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
PAC ID | 4981076536 PECOS Associate Control (PAC) ID Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
Professional Enrollment ID | I20230208002744 |
Full Name | KRYSTEL SEGOVIA |
Gender | F |
Graduation Year | 2020 |
Primary Specialty | CLINICAL PSYCHOLOGIST |
Organization Legal Name | RISING PHOENIX MENTAL HEALTH PLLC |
Group Practice PAC ID | 4789044314 |
Number of Group Practice Members | 2 |
Address | 745 Mcclintock Dr Suite 100 Burr Ridge IL 60527-0863 |
Telephone | 6304916846 |
Professional Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
Group Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
Provider Overview
NPI | 1154034650 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
Provider Name | KRYSTEL SEGOVIA |
Address | 1819 Bay Scott Cir Naperville IL 60540-1129 |
Taxonomy Code | 103TC0700X |
Enumeration Date | 2022-12-29 |
Organization Information
Organization Legal Name | RISING PHOENIX MENTAL HEALTH PLLC |
Address | 745 Mcclintock Dr Suite 100 Burr Ridge IL 60527-0863 |
Telephone | 6304916846 |
Doctors with the same organization
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Lauren Kaplan | Clinical Psychologist | Rising Phoenix Mental Health PLLC | 745 Mcclintock Dr, Suite 100, Burr Ridge, IL 60527-0863 |
Location Information
Street Address | 745 MCCLINTOCK DR SUITE 100 |
City | BURR RIDGE |
State | IL |
Zip Code | 60527-0863 |
Doctors in the same location
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Kathleen N. Pyles | Nurse Practitioner | Paragon Clinical LLC | 745 Mcclintock Dr, Suite 360, Burr Ridge, IL 60527-0875 |
Maureen B Frederick | Nurse Practitioner | Paragon Clinical LLC | 745 Mcclintock Dr, Suite 360, Burr Ridge, IL 60527-0875 |
Susan Nso | Nurse Practitioner | Paragon Clinical LLC | 745 Mcclintock Dr, Suite 360, Burr Ridge, IL 60527-0875 |
Lovelyne A Ngeche | Nurse Practitioner | Paragon Clinical LLC | 745 Mcclintock Dr, Suite 360, Burr Ridge, IL 60527-0875 |
Marie S Dorsey | Nurse Practitioner | Paragon Clinical LLC | 745 Mcclintock Dr, Suite 360, Burr Ridge, IL 60527-0875 |
Nimmy Tom | Nurse Practitioner | Paragon Clinical LLC | 745 Mcclintock Dr, Suite 360, Burr Ridge, IL 60527-0875 |
Angela M Stancy | Nurse Practitioner | Paragon Clinical LLC | 745 Mcclintock Dr, Suite 360, Burr Ridge, IL 60527-0875 |
Dalia Yadav | Nurse Practitioner | Paragon Clinical LLC | 745 Mcclintock Dr, Suite 360, Burr Ridge, IL 60527-0875 |
Heather M. Kotowicz | Nurse Practitioner | Paragon Clinical LLC | 745 Mcclintock Dr, Suite 360, Burr Ridge, IL 60527-0875 |
Michele D Moldrem | Nurse Practitioner | Paragon Clinical LLC | 745 Mcclintock Dr, Suite 360, Burr Ridge, IL 60527-0875 |
Find all doctors in the same location |
Doctors in the same zip code
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Holly Huong Le | Optometry | Direct Healthcare Solutions LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
Rozmeen Shivji | Nurse Practitioner | Paragon Clinical LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
Cara Lyn Mcguire | Nurse Practitioner | Vpa PC | 1000 Burr Ridge Pkwy, Suite 201, Burr Ridge, IL 60527-0864 |
Lakeshia Keys-Nesbit | Nurse Practitioner | Paragon Clinical LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
Jennifer N Heise | Nurse Practitioner | Paragon Clinical LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
Sung H Kweon | Nurse Practitioner | Paragon Clinical LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
Dennis J Park | Internal Medicine | Vpa PC | 1000 Burr Ridge Pkwy, Suite 201, Burr Ridge, IL 60527-0864 |
Tzintzia Angelica Nunez Hernandez | Nurse Practitioner | Vpa PC | 1000 Burr Ridge Pkwy, Suite 201, Burr Ridge, IL 60527-0864 |
Angela Peters | Nurse Practitioner | Paragon Clinical LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
Victoria J Reid | Clinical Psychologist | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 | |
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Similar Physicians
Doctors with similar names
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Krystel Naoe | Nurse Practitioner | Total Md Physicians Group, PLLC | 9234 N Loop 1604, Suite 112, San Antonio, TX 78249-2981 |
Krystel Marie Rivera Chaves | Clinical Psychologist | Carr 110 Km, 3 Bo Ceiba Baja, Aguadilla, PR 00603-9998 | |
Melissa Krystel-Whittemore | Pathology | New York University | 111 Broadway, New York, NY 10006-1901 |
Krystel S Sharpe-Kamer | Pediatric Medicine | Edward W Sparrow Hospital Association | 1200 E Michigan Ave, 460 Sparrow Regional Children's Center, Lansing, MI 48912-1897 |
Krystel Demeza | Nurse Practitioner | Physicians Referral Service | 1515 Holcombe Blvd Dept of Pathol, Houston, TX 77030-4000 |
Krystel D Hatfield | Nurse Practitioner | Blount Memorial Physician Group Inc | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 |
Krystel Joy P Roncales | Nurse Practitioner | Pikes Peak Nephrology Associates PC | 1914 Lelaray St, Colorado Springs, CO 80909-2800 |
Krystel Salandanan | Clinical Psychologist | Gray Matter Neuropsychology PC | 426 Atlantic Ave, East Rockaway, NY 11518-1431 |
Krystel Lynne Huddleston | Nurse Practitioner | 1001 N Broadway St, Poteau, OK 74953-2609 |
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Dataset Information
This dataset includes over one million physicians and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with National Provider Identifier (NPI), PECOS Associate Control (PAC) ID, full name, specialty, phone, organization, hospital, address, medical school, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Source | data.cms.gov |
Dataset Details
The Centers for Medicare & Medicaid Services gives useful information about doctors, clinicians, and groups listed on Medicare Care Compare. The data is available in the Provider Data Catalog (PDC) for the performance year (PY) of the Quality Payment Program. The informatoin include: demographic data describing individual doctors and clinicians; clinician, group, and virtual group Merit-based Incentive Payment System (MIPS) performance information; clinician overall MIPS Final Score and performance category score information; and clinician utilization data. The Doctors and Clinicians data contains the following information:
- The clinician/enrollment record/group/address data: Clinicians may have multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations.
- Performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by clinicians.
- Merit-Based Incentive Payment System (MIPS) Final Scores and performance category scores for clinicians.
- performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by groups.
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS measures submitted by groups.
This dataset includes over one million doctors, clinicians, and groups enrolled in Medicare. The data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA). The data for each entity includes National Provider Identifier (NPI), PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.