Individual provider Active NPI

Jennifer Lee Leon Sumpter, PSY. D.

  • Clinical Psychologist
  • Cayey, PR
National Provider Identifier
1396952305
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2759 Issued in PR
Practice address
Villas de San Jose
209
Cayey, PR 00736-9302
Phone
(787) 263-3591
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2759 PR Primary

Addresses

Primary practice location

Villas de San Jose
209
Cayey, PR 00736-9302

Mailing address

Villas de San Jose
209
Cayey, PR 00736-9302
Phone (787) 263-3591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2759PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1396952305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VILLAS DE SAN JOSE",
            "address_2": "209",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007369302",
            "telephone_number": "787-263-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLAS DE SAN JOSE",
            "address_2": "209",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007369302",
            "telephone_number": "787-263-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON SUMPTER",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.