Dr. C Professional Services, PLLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

4095 Issued in OK

Legal business name

DR. C PROFESSIONAL SERVICES, PLLC

Doing business as

Charles Cavett PhD, PsyD

Practice address

7109 S Kentucky Ave
Oklahoma City, OK 73159-3427

Phone

(405) 601-8261

Fax

(405) 601-8261

NPI assigned

Feb 9, 2010

Organization subpart

No

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

Authorized official

Name

Charles Lynn Cavett, PHD, PSYD

Title

Owner

Phone

(405) 601-8261

Specialties & licenses 1

Addresses

Other names 1

• Charles Cavett PhD, PsyD Doing business as

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1285966747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 S KENTUCKY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731593427",
            "telephone_number": "405-601-8261",
            "fax_number": "405-601-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 S KENTUCKY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731593427",
            "telephone_number": "405-601-8261",
            "fax_number": "405-601-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. C PROFESSIONAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "CAVETT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-601-8261",
        "authorized_official_credential": "PHD, PSYD"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OK",
            "license": "4095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles Cavett PhD, PsyD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr Jay D Johnson Optometrist PLC (Heritage Vision Associates)
• Dr Joe P. Merritt, MD, Inc.
• Dr Karuneshsinghal MD PC
• Dr Rob Rowe Inc PC (Central Oklahoma Wellness Clinic)
• Dr. Amathul Azeem Shakir
• Dr. Craig a. Wooten, P.C. (Oral & Facial Surgery of Oklahoma)
• Dr. Curt Massengale & Associates (Massengale Eye Care)
• Dr. David C. Cavallaro, D.P.M., Inc.
• Dr. Islo D. 'Winn' Ashmore
• Dr. Mary K. Mercer, P.C.

• Mental Illness Community Based Residential Treatment Facility in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Mental Illness Community Based Residential Treatment Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.