Individual provider Active NPI

John R Capel, PH.D.

  • Clinical Psychologist
  • Sacramento, CA
National Provider Identifier
1497848816
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY11995 Issued in FL
Practice address
4300 Auburn Blvd Ste 104
Sacramento, CA 95841-4103
Phone
(916) 488-5788
Fax
(916) 488-2983
NPI assigned
Sep 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY11995 FL Primary

Addresses

Primary practice location

4300 Auburn Blvd Ste 104
Sacramento, CA 95841-4103

Mailing address

4300 Auburn Blvd Ste 104
Sacramento, CA 95841-4103
Phone (916) 488-5788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY11995FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497848816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 AUBURN BLVD STE 104",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414103",
            "telephone_number": "916-488-5788",
            "fax_number": "916-488-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 AUBURN BLVD STE 104",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414103",
            "telephone_number": "916-488-5788",
            "fax_number": "916-488-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPEL",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PSY11995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.