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

Active since June 28, 2016PECOS Enrolled
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: July 26, 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.

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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jomary Sepulveda Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Otolaryngology
400 COLUMBUS AVE
NEW HAVEN, CT 06519
Pediatrics
400 COLUMBUS AVE
NEW HAVEN, CT 06519
Pediatrics
400 COLUMBUS AVE
NEW HAVEN, CT 06519
Obstetrics & Gynecology
400 COLUMBUS AVE
NEW HAVEN, CT 06519
Social Worker (Clinical)
400 COLUMBUS AVE
NEW HAVEN, CT 06519
Nurse Practitioner (Family)
400 COLUMBUS AVE
NEW HAVEN, CT 06519
Nurse Practitioner (Pediatrics)
400 COLUMBUS AVE
NEW HAVEN, CT 06519
Physician Assistant
400 COLUMBUS AVE
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 enrollment system.

When was this NPI record last updated?

The NPPES record for Jomary Sepulveda was last updated on March 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.