Jelisse Matos Renta, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6671 Issued in PR

Practice address

Calle Mayor
Ponce, PR 00730

Phone

(787) 905-5216

NPI assigned

Jan 11, 2022

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Jelisse Matos Renta Professional name

Electronic endpoints 1

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.

• N & N Psychological Services

  dba Instituto de Salud Integral

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ponce, PR
  • NPI 1609006576
  Medicare reassignment NPD
• Centro Holistico Bienestar Mental

  dba Centro Holistico Para El Bienestar de la Salud Mental

  • Psychiatry Physician
  • Caguas, PR
  • NPI 1932405255
  NPD (past)
• Mindwell Psychology Clinic

  • Clinical Psychologist
  • Ponce, PR
  • NPI 1811813090
  NPD (past)

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1720739899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CALLE PRINCIPE",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007803211",
            "telephone_number": "787-905-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MAYOR",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730",
            "telephone_number": "787-905-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS RENTA",
        "first_name": "JELISSE",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2026-09-29",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PR",
            "license": "6671",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PR",
            "license": "6671",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Patience",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "calle mayor",
            "city": "Ponce",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JELISSE",
            "last_name": "MATOS RENTA",
            "prefix": "DR.",
            "credential": "MED",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Waldemar Matias, PA
• Jorge R Matos Figueroa, M.D.
• Gabriela N Matos Ortiz
• Eduardo Matos Postigo Sr., MD LICENSE 11827
• Stephanie Matos Quintana
• Jacob Christopher Matos-Castro, PSYD
• Alexander Matos
• Barbara Matos, OTL
• Juan Edgardo Matos, O.T.R.
• Marylin Matos

• Clinical Psychologist in Ponce, PR
• Providers in Ponce, 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 Sep 29, 2026; 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.