JSB Wellness LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

JSB WELLNESS LLC

Practice address

3000 Whitney Ave Ste 125
Hamden, CT 06518-2353

Phone

(203) 781-6635

NPI assigned

Apr 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jomary Sepulveda-Betancourt, PSYD, LPC

Title

Ceo

Phone

(203) 781-6635

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jomary Sepulveda, LPC

  • Psychologist
  • New Haven, CT
  • NPI 1174974471

  Professional

  NPD

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1407437056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WHITNEY AVE STE 125",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182353",
            "telephone_number": "203-781-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WHITNEY AVE STE 125",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182353",
            "telephone_number": "203-781-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSB WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "SEPULVEDA-BETANCOURT",
        "authorized_official_first_name": "JOMARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-781-6635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paris Lanee Jones
• Saundre Jones
• Xilin Feng Jordan, L.A.C
• Rohan Joshi, DMD
• Journey to Wellness Counseling, LLC
• Corinne Juhasz, MA, CCC/SLP
• Lisseth R Jurado Quiroga, LCSW
• Melissa L. Jurgen, OTR/L, CHT
• K-Assist LLC
• Kacian Fabish LPC

• Psychologist in Hamden, CT
• Providers in Hamden, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.