Charles L. Cavett, LPC, AAMFT,PHD, PSYD

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

LPC#4095 Issued in OK

Practice address

9901 S Western Ave
Suite a
Oklahoma City, OK 73139-2951

Phone

(405) 412-7189

NPI assigned

Feb 24, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1396985875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 N BLUE LAKE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730698058",
            "telephone_number": "405-701-1090",
            "fax_number": "405-701-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 S WESTERN AVE",
            "address_2": "SUITE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392951",
            "telephone_number": "405-412-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVETT",
        "first_name": "CHARLES",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "LPC, AAMFT,PHD, PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-24",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OK",
            "license": "LPC#4095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200412200A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christi Lynn Cavazos
• Melanie Hilton Cavazos, LMSW
• Olivia Alexandra Cavazos, DDS
• Pamela Kristine Cavazos
• Andrew Tom Cave, M.D.
• Mark Cavett
• Hannah Cavin
• Robert Cavin
• David Cawthon
• Jacob Russell Caylor, M.D.

• Community Health Worker in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Community Health Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.