Active NPI
Elyse Jill Kaplan, PSYD
- Clinical Psychologist
- Baltimore, MD
National Provider Identifier
1689742256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810003718
- Practice address
- 1816 Bolton St
Baltimore, MD 21217-4411 - Phone
- (410) 878-0945
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810003718 | VA | Primary |
| Psychologist | 103T00000X | 04235 | MD |
Addresses
Primary practice location
1816 Bolton St
Baltimore, MD 21217-4411
Mailing address
1816 Bolton St
Baltimore, MD 21217-4411
Phone (410) 878-0945
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132190100 | Medicaid | MD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04235 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1689742256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 BOLTON ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212174411",
"telephone_number": "410-878-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1816 BOLTON ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212174411",
"telephone_number": "410-878-0945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPLAN",
"first_name": "ELYSE",
"middle_name": "JILL",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810003718",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "04235",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132190100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.