Individual provider Active NPI

Amy Michele Kaplan, PH.D.

  • Clinical Psychologist
  • Woodstock, GA
National Provider Identifier
1104967199
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY002832 Issued in GA
Practice address
8910 Main St
Woodstock, GA 30188-4916
Phone
(770) 841-4582
Fax
(770) 928-5731
NPI assigned
Feb 11, 2007
Sex
Female
Sole proprietor
Yes

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 Psychologist 103TC0700X PSY002832 GA Primary

Addresses

Primary practice location

8910 Main St
Woodstock, GA 30188-4916

Mailing address

8910 Main St
Woodstock, GA 30188-4916
Phone (770) 841-4582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20050118000046 GA Practitioner - Clinical Psychologist 0547219545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kaplan Counseling Inc.Group PAC ID 4082704242, 2 clinicians

Practice addresses (Care Compare)

324 Creekstone RDG
Woodstock, GA 30188-3739
Phone 7709241818304

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaplan Counseling Inc. CurrentSince Oct 1, 2007 Accepting new patients

Locations

8910 Main St
Woodstock, GA 30188
Phone (770) 841-4582

324 Creekstone Rdg
Woodstock, GA 30188
Phone (762) 261-0946

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104967199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 MAIN ST",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884916",
            "telephone_number": "770-841-4582",
            "fax_number": "770-928-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 MAIN ST",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884916",
            "telephone_number": "770-841-4582",
            "fax_number": "770-928-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "AMY",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.