Individual provider Active NPI

Natacha Nicole Sepulveda Pacheco, PSYD

  • Clinical Psychologist
  • Arecibo, PR
National Provider Identifier
1922966100
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8914 Issued in PR
Practice address
16 Calle Ana Lens de Susoni
Arecibo, PR 00612-4301
Phone
(787) 879-1962
NPI assigned
Jan 14, 2026
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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 8914 PR Primary

Addresses

Primary practice location

16 Calle Ana Lens de Susoni
Arecibo, PR 00612-4301

Mailing address

4647 Calle Codorniz
Isabela, PR 00662-4865

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4647 Calle Codorniz
Isabela, PR 00662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psicologia Integral Clinica Forense Dra. Norma Gomez Soto CSP Clinical CurrentSince Jun 22, 2026 Accepting new patients

Locations

16 Calle Ana Lens de Susoni
Arecibo, PR 00612
Phone (787) 879-1962

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1768348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1922966100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 CALLE CODORNIZ",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CALLE ANA LENS DE SUSONI",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124301",
            "telephone_number": "787-879-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA PACHECO",
        "first_name": "NATACHA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.