Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jelisse Matos Renta, PSYD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1720739899

Dr. Jelisse Matos Renta, PSYD is a Clinical Psychologist in Ponce, Puerto Rico. Qualified in 2025, 1 year ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Puerto Rico.

Years since qualifying
1
Licensed in
PR
In the registry since
2022
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Calle Mayor
Ponce, PR 00730
Phone: (787) 905-5216

No coordinates on file. Search this address in Google Maps

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6671 (PR)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 6671 (PR)
School Psychologist Taxonomy 103TS0200X · Licence 6671 (PR)

Record details

NPI number1720739899
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJanuary 11, 2022
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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