Carmen I Sepulveda, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2150 Issued in PR

Practice address

Calle Dufresne #19
Suite 1
Humacao, PR 00791-5219

Phone

(787) 381-6613

Fax

(787) 893-5010

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sepulveda Psychological Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Humacao, PR
  • NPI 1033890348

  Clinical

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1437368883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB MANSIONES DEL CARIBE 190 AQUAMARINA",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007915219",
            "telephone_number": "787-381-6613",
            "fax_number": "787-893-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DUFRESNE #19",
            "address_2": "SUITE 1",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007915219",
            "telephone_number": "787-381-6613",
            "fax_number": "787-893-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "CARMEN",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Ruben Sepulveda Garcia
• Iliana Sepulveda Montes, PSYD
• Sepulveda Psychological Clinic LLC
• Coralys Milagros Sepulveda Rivera, RDN
• Ramon Sepulveda-Abreu, M.D.
• Josean Sepulveda, MD
• Lillian M Sepulveda, RPH
• Serafina Obstetricia Y Ginecologia LLC
• Lillian Teresa Serrano Garcia, M.D. PSYCHIATRIST
• Lourdes Janette Serrano Rivera, PHARNACY TEC

• Clinical Psychologist in Humacao, PR
• Providers in Humacao, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.