Active NPI
Jeremy Capello, PH.D.
- Psychologist
- Austin, TX
National Provider Identifier
1881921948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1834
- Practice address
- 2901 Montopolis Drive
Austin, TX 78741 - Phone
- (512) 389-6533
- NPI assigned
- Nov 11, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1834 | KS | Primary |
Addresses
Primary practice location
2901 Montopolis Drive
Austin, TX 78741
Mailing address
6846 La Concha Pass
Austin, TX 78749-4253
Phone (512) 301-0122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.89 of 100
- Quality
- 80
- Improvement activities
- 40
- Cost
- 72.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36192 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257897600000",
"number": "1881921948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6846 LA CONCHA PASS",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787494253",
"telephone_number": "512-301-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 MONTOPOLIS DRIVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78741",
"telephone_number": "512-389-6533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPELLO",
"first_name": "JEREMY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-11",
"last_updated": "2009-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "1834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.