Individual provider Active NPI

Glenn M Kaplan, PH.D.

  • Family Psychologist
  • Larkspur, CO
National Provider Identifier
1215035761
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
841291614 Issued in CO
Practice address
15600 E Cherry Creek Rd
Larkspur, CO 80118-5003
Phone
(303) 434-6023
Fax
(303) 663-1939
NPI assigned
Sep 20, 2006
Last updated
Oct 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Psychologist 103TF0000X 841291614 CO Primary

Addresses

Primary practice location

15600 E Cherry Creek Rd
Larkspur, CO 80118-5003

Mailing address

15600 E Cherry Creek Rd
Larkspur, CO 80118-5003
Phone (303) 434-6023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20050913000116 CO Practitioner - Clinical Psychologist 0143253088 Practice locations: Colorado Springs, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

525 N Nevada Ave
Suite 204
Colorado Springs, CO 80903-1156
Phone (303) 434-6023

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1215035761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 E CHERRY CREEK RD",
            "city": "LARKSPUR",
            "state": "CO",
            "postal_code": "801185003",
            "telephone_number": "303-434-6023",
            "fax_number": "303-663-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 E CHERRY CREEK RD",
            "city": "LARKSPUR",
            "state": "CO",
            "postal_code": "801185003",
            "telephone_number": "303-434-6023",
            "fax_number": "303-663-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "GLENN",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CO",
            "license": "841291614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larkspur, CO

Sources for this page

Verify at the official NPI Registry.