DR. JOMARY SEPULVEDA LPC
NPI 1174974471
Psychologist in New Haven, CT

Active since June 28, 2016PECOS EnrolledAccepts Medicare Assignment
400 COLUMBUS AVE, APC, NEW HAVEN, CT 06519(203) 503-3673(203) 503-3600 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 4, 2018, Jun 29, 2016 (2 updates tracked since 2016).

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

NPI1174974471
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JOMARY SEPULVEDACredential: LPC
Location Address400 COLUMBUS AVE, APCNew Haven, CT 06519
Mailing Address400 Columbus Ave, Credentialing SpecialistNew Haven, CT 06519-1233 · (203) 503-3174 · Fax (203) 503-3183
Fax(203) 503-3600
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 28, 2016
Last NPPES UpdateMarch 26, 20242 updates tracked since enumeration
NPPES CertifiedMarch 26, 2024
✔ NPI 1174974471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CT · 4700
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 3521 (CT)
400 COLUMBUS AVE, New Haven, CT 06519

Other Names 1

Other Name (5)Dr. Jomary Sepulveda-betancourt Psyd

Other Identifiers 1

Medicaid004235918CT

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.

PECOS PAC ID8325481898
PECOS Enrollment IDI20240304000427
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.

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.

Federally Qualified Health Center (FQHC)
400-428 COLUMBUS AVENUE
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.

Counselor
400 COLUMBUS AVE
NEW HAVEN, CT 06519
Social Worker
400 COLUMBUS AVE
NEW HAVEN, CT 06519
Social Worker
400 COLUMBUS AVE
NEW HAVEN, CT 06519
Counselor (Professional)
400 COLUMBUS AVE
NEW HAVEN, CT 06519
Social Worker
400 COLUMBUS AVE
NEW HAVEN, CT 06519
Social Worker (Clinical)
400 COLUMBUS AVE
NEW HAVEN, CT 06519
Dentist (General Practice)
400 COLUMBUS AVE
NEW HAVEN, CT 06519
Counselor (Professional)
400 COLUMBUS AVE, ADULT PSYCHIATRIC CLINIC
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.