Individual provider Active NPI

Susan Linda Kaplan, PH.D

  • Clinical Psychologist
  • Irvine, CA
National Provider Identifier
1093856361
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY12066 Issued in CA
Practice address
780 Roosevelt
Suite 131
Irvine, CA 92620-3660
Phone
(949) 559-0816
Fax
(949) 743-2996
NPI assigned
Feb 9, 2007
Last updated
Jul 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY12066 CA Primary

Addresses

Primary practice location

780 Roosevelt
Suite 131
Irvine, CA 92620-3660

Mailing address

PO Box 61253
Irvine, CA 92602-6041
Phone (949) 559-0816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050803000467 CA Practitioner - Clinical Psychologist 0648208348 Practice locations: Irvine, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

780 Roosevelt
Suite 131
Irvine, CA 92626
Phone (949) 559-0816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY12066CAMDClinical Psychologist
12066CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1093856361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61253",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926026041",
            "telephone_number": "949-559-0816",
            "fax_number": "949-743-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 ROOSEVELT",
            "address_2": "SUITE 131",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203660",
            "telephone_number": "949-559-0816",
            "fax_number": "949-743-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "SUSAN",
        "middle_name": "LINDA",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY12066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.