Jomary Sepulveda, LPC
NPI 1174974471ActiveIndividual· Psychologist· New Haven, CT
Psychologist (LPC) with Cornell Scott Hill Health Corporation, practicing in New Haven, Connecticut. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1174974471 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | No |
| NPI issued | Jun 28, 2016 |
| Last updated in NPPES | Mar 26, 2024 |
| Certified by provider | Mar 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 4700 | CT |
| Counselor, Professional | 101YP2500X | 3521 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CT) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Cornell Scott Hill Health CorporationNew Haven, CT · 271 clinicians
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