Active NPI
Glenn M Kaplan, PH.D.
- Family Psychologist
- Larkspur, CO
National Provider Identifier
1215035761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- 841291614
- 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, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.