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JENNIFER DEPETRO PH.D.
NPI 1972455780
Psychologist - Clinical in Southlake, TX

Active since February 12, 2026
502 N CARROLL AVE STE 120, SOUTHLAKE, TX 76092(682) 292-7012 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Depetro Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER DEPETRO PH.D. (NPI 1972455780) is an individual clinical provider in Southlake, Texas, licensed in Texas (34436) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1972455780
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJENNIFER DEPETROCredential: PH.D.
Location Address502 N CARROLL AVE STE 120Southlake, TX 76092-6449
Mailing Address4421 Wanda LnFlower Mound, TX 75022-5446
Phone(682) 292-7012
Sole ProprietorNo
Enumeration DateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1972455780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TX · 34436
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
502 N CARROLL AVE STE 120, Southlake, TX 76092
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA BROOKE CARNES LPC
Counselor (Professional)
502 N CARROLL AVE STE 120
SOUTHLAKE, TX 76092
Tarrant County (682) 292-7012
DR. LATASHA D GREENE
Psychologist (Clinical)
502 N CARROLL AVE STE 120
SOUTHLAKE, TX 76092
Tarrant County (682) 292-7012
DR. KIMBERLY ELAINE KOMON PHD
Psychologist (Clinical)
502 N CARROLL AVE STE 120
SOUTHLAKE, TX 76092
Tarrant County (682) 292-7012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Depetro's NPI number?

The NPI number for Jennifer Depetro is 1972455780. It was assigned to this individual provider in the NPPES registry on February 12, 2026.

Where is Jennifer Depetro located?

Jennifer Depetro practices at 502 N Carroll Ave Ste 120, Southlake, TX 76092. The listed phone number is (682) 292-7012.

What is Jennifer Depetro's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Depetro was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.