Sara Deleon, PSYD

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

PSY21374 Issued in CA

Practice address

41690 Enterprise Cir N Ste 110
Temecula, CA 92590-5658

Phone

(951) 223-1117

Fax

(951) 290-3621

NPI assigned

Jan 20, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sara M. Deleon, PSYD Corp

  • Intellectual & Developmental Disabilities Psychologist
  • Temecula, CA
  • NPI 1528750981
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706400000000",
    "number": "1114349586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41690 ENTERPRISE CIR N STE 110",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905658",
            "telephone_number": "951-223-1117",
            "fax_number": "951-290-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41690 ENTERPRISE CIR N STE 110",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905658",
            "telephone_number": "951-223-1117",
            "fax_number": "951-290-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON",
        "first_name": "SARA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-20",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "PSY21374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1114349586",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Del Rosario, LCSW
• Stefania Puyat Del Rosario, MD
• Yackelin Del Toro
• Nadalie Delatorre
• Andria Lyn Deleon
• Ernesto Delgado Perez, DDS
• David Delgado
• Grace Kristine Delgado
• Jasmine Delgado
• Logan Delgado

• Intellectual & Developmental Disabilities Psychologist in Temecula, CA
• Providers in Temecula, CA by specialty
• Intellectual & Developmental Disabilities Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.