Steven Richard Caplan
Individual provider Active NPI Clinical Psychologist · Walnut Grove, CA
NPI 1497901797 · NPPES record last updated Feb 16, 2016
Key facts
- NPI
- 1497901797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY27340 (CA)
- Practice address
- 14286 State Hwy160 #282
Walnut Grove, CA 95690-0282 - Phone
- (412) 916-2566
- NPI assigned
- Aug 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY27340 | CA | MD | Clinical Psychologist |
| 27340 | CA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY27340 | CA | Yes |
Addresses
Primary practice location
14286 State Hwy160 #282
Walnut Grove, CA 95690-0282
Mailing address
PO Box 409099
Ione, CA 95640-9099
Phone (412) 916-2566
Other providers in Walnut Grove, CA
All providers in Walnut Grove, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2016. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.