Individual provider Active NPI

Robert Gary Kaplan, PH.D.

  • Clinical Psychologist
  • Beachwood, OH
National Provider Identifier
1225044175
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3518 Issued in OH
Practice address
3690 Orange PL Ste 170
Beachwood, OH 44122-4465
Phone
(216) 642-8283
Fax
(216) 937-0187
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X 3518 OH
Clinical Psychologist 103TC0700X 3518 OH Primary

Addresses

Primary practice location

3690 Orange PL Ste 170
Beachwood, OH 44122-4465

Mailing address

3690 Orange PL Ste 170
Beachwood, OH 44122-4465
Phone (216) 642-8283

Other practice location 1

35104 Euclid Ave Ste 308B
Willoughby, OH 44094-4566
Phone (216) 642-8283

Other identifiers 1

IdentifierTypeStateIssuer
5165553OtherOHAETNA PIN

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3518OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Management Associates, Inc Past Accepting new patients

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1225044175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL STE 170",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224465",
            "telephone_number": "216-642-8283",
            "fax_number": "216-937-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL STE 170",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224465",
            "telephone_number": "216-642-8283",
            "fax_number": "216-937-0187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35104 Euclid Ave Ste 308B",
            "address_purpose": "LOCATION",
            "city": "Willoughby",
            "state": "OH",
            "postal_code": "440944566",
            "country_code": "US",
            "telephone_number": "216-642-8283",
            "fax_number": "216-937-0187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "ROBERT",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "OH",
            "license": "3518",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "3518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "5165553",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.