P Praxis·MD
● Active Type 1 · Individual

Jennifer Depetro, PH.D.

Psychologist·Southlake, TX· NPI 1972455780 · Enumerated 2026 · 0 years on NPI
Depetro is 1 of 24 psychologist providers in Southlake and 1 of 3401 in Texas.
NPI age
— years
Enumerated 2026-02-12
Primary specialty
Psychologist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-02-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3401 active psychologist providers in Texas.

NPI age
0 years
↓ 15 yr below median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2026 → 2026

2026-02Enumerated in NPPES
2026 2026

Where they practice

Practice location
502 N Carroll Ave Ste 120
Southlake, TX 760926449
📞 6822927012
Mailing address
4421 Wanda Ln
Flower Mound, TX 750225446

Specialties

  • Psychologist Primary
    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...
    TX license #34436 taxonomy 103TC0700X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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