DR. JOMARY SEPULVEDA LPC
NPI 1174974471
Psychologist in New Haven, CT
About Dr. Jomary Sepulveda Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOMARY SEPULVEDA LPC (NPI 1174974471) is an individual psychologist in New Haven, Connecticut, licensed in Connecticut (4700) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jomary Sepulveda Lpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Jomary Sepulveda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Haven, CT 06519
- Reassigned Medicare billing, Connecticut enrollment
- 468 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
NEW HAVEN, CT 06519
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 Jomary Sepulveda's NPI number?
The NPI number for Jomary Sepulveda is 1174974471. It was assigned to this individual provider in the NPPES registry on June 28, 2016. The provider is also known as Dr. Jomary Sepulveda-Betancourt Psyd.
Where is Jomary Sepulveda located?
Jomary Sepulveda practices at 400 Columbus Ave Apc, New Haven, CT 06519. The listed phone number is (203) 503-3673.
What is Jomary Sepulveda's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Jomary Sepulveda enrolled in Medicare?
Yes. Jomary Sepulveda 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.
Which organization bills Medicare for Jomary Sepulveda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jomary Sepulveda reassigns Medicare benefits to Cornell Scott Hill Health Corporation (New Haven, CT). The 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 Jomary Sepulveda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jomary Sepulveda accept?
Health plans from Anthem Blue Cross and Blue Shield list Jomary Sepulveda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jomary Sepulveda was last updated on March 26, 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.