Dr. Jaye Capretto, LLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

DR. JAYE CAPRETTO, LLC

Practice address

6202 S Lewis Ave Ste a
Tulsa, OK 74136-1064

Phone

(918) 949-4515

Fax

(918) 949-4523

NPI assigned

Aug 26, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Jaye Capretto, PHDNPI 1063857175

Title

Manager/Licensed Psychologist

Phone

(918) 949-4515

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Jaye Capretto, PH.D., M.ED.

  • Clinical Child & Adolescent Psychologist
  • Tulsa, OK
  • NPI 1063857175
  NPD Authorized official

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1174290225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 S LEWIS AVE STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361064",
            "telephone_number": "918-949-4515",
            "fax_number": "918-949-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 S LEWIS AVE STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361064",
            "telephone_number": "918-949-4515",
            "fax_number": "918-949-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAYE CAPRETTO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "CAPRETTO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "JAYE",
        "authorized_official_title_or_position": "MANAGER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "918-949-4515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Child & Adolescent Psychologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Child & Adolescent Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.