Provider Demographics
NPI:1174290225
Name:DR. JAYE CAPRETTO, LLC
Entity Type:Organization
Organization Name:DR. JAYE CAPRETTO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:JAYE
Authorized Official - Last Name:CAPRETTO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:918-949-4515
Mailing Address - Street 1:6202 S LEWIS AVE STE A
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-1064
Mailing Address - Country:US
Mailing Address - Phone:918-949-4515
Mailing Address - Fax:918-949-4523
Practice Address - Street 1:6202 S LEWIS AVE STE A
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1064
Practice Address - Country:US
Practice Address - Phone:918-949-4515
Practice Address - Fax:918-949-4523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty