SEPULVEDA PSYCHOLOGICAL CLINIC LLC
NPI 1033890348
Clinic/Center - Mental Health (Including Community Mental Health Center) in Humacao, PR
About Sepulveda Psychological Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEPULVEDA PSYCHOLOGICAL CLINIC LLC (NPI 1033890348) is a healthcare organization registered as a mental health (including community mental health center) in Humacao, Puerto Rico and active in the NPI registry since July 2023. The organization lists Carmen I Sepulveda, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sepulveda Psychological Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Sepulveda Psychological Clinic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Sepulveda Psychological Clinic LLC's NPI number?
The NPI number for Sepulveda Psychological Clinic LLC is 1033890348. It was assigned to this organization in the NPPES registry on July 28, 2023.
Where is Sepulveda Psychological Clinic LLC located?
Sepulveda Psychological Clinic LLC is located at Dufresne 19 Suite 1, Humacao, PR 00791. The listed phone number is (787) 381-6613.
What is Sepulveda Psychological Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Sepulveda Psychological Clinic LLC enrolled in Medicare?
Yes. Sepulveda Psychological Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sepulveda Psychological Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Sepulveda Psychological Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Sepulveda Psychological Clinic LLC was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sepulveda Psychological Clinic Llc · NPI 1033890348
Mental Health (Including Community Mental Health Center) organization in Humacao, Puerto Rico. Organization record, active in the CMS NPPES registry since July 28, 2023.
## Identity
- **NPI:** 1033890348 (Entity type: Organization)
- **Enumerated:** July 28, 2023
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Carmen Sepulveda, OWNER
## Practice location
- **Address:** DUFRESNE 19 SUITE 1, Humacao, PR 00791
- **Phone:** (787) 381-6613
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1033890348) · Data from the CMS NPPES public registry.