Healthcare Provider Details

I. General information

NPI: 1558270355
Provider Name (Legal Business Name): CAPRETTO PSYCHOLOGICAL ASSESSMENT, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 S UTICA AVE STE 811
TULSA OK
74104-4017
US

IV. Provider business mailing address

1145 S UTICA AVE STE 811
TULSA OK
74104-4017
US

V. Phone/Fax

Practice location:
  • Phone: 918-309-5025
  • Fax: 918-398-8972
Mailing address:
  • Phone: 918-309-5025
  • Fax: 918-398-8972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JESSICA JAYE CAPRETTO
Title or Position: MEMBER/MANAGER
Credential: PHD
Phone: 319-309-5025