Ali Kaplan PHD, LLC
Organization Active NPI Clinical Psychologist · Cordova, TN
NPI 1366938532 · NPPES record last updated Jul 10, 2018
Key facts
- NPI
- 1366938532
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 3290 (TN)
- Legal business name
- ALI KAPLAN PHD, LLC
- Practice address
- 36 Bazeberry Rd
Cordova, TN 38018-7754 - Phone
- (901) 758-0036
- Fax
- (865) 246-2106
- NPI assigned
- Jul 10, 2018
- Organization subpart
- No
Authorized official
- Name
- Ali Michelle Kaplan, PHD
- Title
- Owner
- Phone
- (865) 246-2104
Practitioners 1
-
Ali Michelle Kaplan, PHD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180822001177 | TN | Part B Supplier - Clinic/Group Practice | 3779832803 |
Receives reassigned benefits from 1 practitioner Practice locations: Cordova, TN; Memphis, TN; Bartlett, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 3290 | TN | Yes |
Addresses
Primary practice location
36 Bazeberry Rd
Cordova, TN 38018-7754
Mailing address
PO Box 5777
Maryville, TN 37802-5777
Phone (865) 246-2104
Other providers in Cordova, TN
- Susan Mack Aguillard
- Olayinka Olaniyi Akinwumiju
- Ahmad Abdul Ghaffar a Al-Fakhouri
- Nadia Olivia Albert
- Dvanishia Alford
- Jane Kirk Alissandratos
- All Day Screening, LLC
- Janice C Allen
- Kadasha Allen
- Louise Allen
All providers in Cordova, TN · Clinical Psychologist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.