Individual
DR. JELISSE MATOS RENTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6671
PR
103TC2200X
Clinical Child & Adolescent Psychologist
6671
PR
103TS0200X
School Psychologist
6671
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131920
—
PR
Enumeration date
01/11/2022
Last updated
08/20/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up