Individual provider Active NPI

Bruce Caplan, PH.D.

  • Clinical Neuropsychologist
  • Wynnewood, PA
National Provider Identifier
1093742082
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PS004569L Issued in PA
Practice address
564 M.O.B. East
100 E. Lancaster Ave.
Wynnewood, PA 19096-3436
Phone
(610) 642-2353
Fax
(610) 642-3278
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS004569L PA Primary

Addresses

Primary practice location

564 M.O.B. East
100 E. Lancaster Ave.
Wynnewood, PA 19096-3436

Mailing address

564 M.O.B. East
100 E. Lancaster Ave.
Wynnewood, PA 19096-3436
Phone (610) 642-2353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS004569LPAMDClinical Neuropsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093742082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 M.O.B. EAST",
            "address_2": "100 E. LANCASTER AVE.",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963436",
            "telephone_number": "610-642-2353",
            "fax_number": "610-642-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 M.O.B. EAST",
            "address_2": "100 E. LANCASTER AVE.",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963436",
            "telephone_number": "610-642-2353",
            "fax_number": "610-642-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPLAN",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS004569L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.