Active NPI
Elsie Sepulveda, MA
- Psychologist
- Yabucoa, PR
National Provider Identifier
1346798915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5635
- Practice address
- 8 Calle Saturnino Rodriguez
Yabucoa, PR 00767 - Phone
- (787) 515-8258
- NPI assigned
- Sep 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5635 | PR | Primary |
Addresses
Primary practice location
8 Calle Saturnino Rodriguez
Yabucoa, PR 00767
Mailing address
PO Box 2050
Yabucoa, PR 00767-2050
Phone (787) 515-8258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170807001060 | PR | Practitioner - Psychologist Billing Independently | 3274804455 | Practice locations: Las Piedras, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5635 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1346798915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2050",
"city": "YABUCOA",
"state": "PR",
"postal_code": "007672050",
"telephone_number": "787-515-8258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 CALLE SATURNINO RODRIGUEZ",
"city": "YABUCOA",
"state": "PR",
"postal_code": "00767",
"telephone_number": "787-515-8258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEPULVEDA",
"first_name": "ELSIE",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-13",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "5635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yabucoa, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.