Active NPI
Elizabeth Anne Kaplan Kahn, PHD
- Clinical Child & Adolescent Psychologist
- Philadelphia, PA
National Provider Identifier
1154015055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PS019596
- Practice address
- 3500 Civic Center Blvd
Philadelphia, PA 19104-4395 - Phone
- (267) 854-6035
- NPI assigned
- Jun 5, 2023
- Last updated
- Jun 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS019596 | PA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PS019596 | PA | Primary |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | PS019596 | PA |
Addresses
Primary practice location
3500 Civic Center Blvd
Philadelphia, PA 19104-4395
Mailing address
2716 South St FL 5
Philadelphia, PA 19146-2305
Other practice location 1
2716 South St Fl 5
Philadelphia, PA 19146-2305
Phone (267) 854-6035
Other practice location 2
4601 Market St Fl 3
Philadelphia, PA 19139-4636
Phone (267) 854-6035
Other names 1
- Dr. Elizabeth Anne Kaplan-Kahn
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS019596 | PA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1154015055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2716 SOUTH ST FL 5",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191462305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 CIVIC CENTER BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044395",
"telephone_number": "267-854-6035"
}
],
"practiceLocations": [
{
"address_1": "2716 South St Fl 5",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191462305",
"country_code": "US",
"telephone_number": "267-854-6035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4601 Market St Fl 3",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191394636",
"country_code": "US",
"telephone_number": "267-854-6035",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAHN",
"first_name": "ELIZABETH",
"middle_name": "ANNE KAPLAN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-05",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS019596",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "PA",
"license": "PS019596",
"primary": true
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "PA",
"license": "PS019596",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "KAPLAN-KAHN",
"middle_name": "ANNE",
"prefix": "DR.",
"credential": "PHD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.