Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jan David Segal, PHD

Individual provider Clinical Psychologist · NPI 1689556193

Jan David Segal, PHD is a Clinical Psychologist in Passaic, New Jersey. Qualified in 1985, 41 years ago. Practices with Senior Care Therapy LLC, a 142-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
41
Licensed in
NJ
In the registry since
2025
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

85 Crescent Ave
Passaic, NJ 07055-2437
Phone: (973) 264-0023
Fax: (973) 264-0022
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 35SI00379500 (NJ)

Record details

NPI number1689556193
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 24, 2025
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address2719 Hollywood Blvd Ste 5469, Hollywood, FL 33020-4821

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Senior Care Therapy Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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