Individual provider Active NPI

Wendy Ann Caplin, PH.D.

  • Counseling Psychologist
  • Philadelphia, PA
National Provider Identifier
1780656140
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PS005962L Issued in PA
Practice address
436 E Durham St
Philadelphia, PA 19119-1222
Phone
(215) 248-9446
Fax
(215) 248-3704
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PS005962L PA Primary

Addresses

Primary practice location

436 E Durham St
Philadelphia, PA 19119-1222

Mailing address

436 E Durham St
Philadelphia, PA 19119-1222
Phone (215) 248-9446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120608000394 PA Practitioner - Clinical Psychologist 6608030309 Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS005962LPAMDCounseling Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1780656140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 E DURHAM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191222",
            "telephone_number": "215-248-9446",
            "fax_number": "215-248-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 E DURHAM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191222",
            "telephone_number": "215-248-9446",
            "fax_number": "215-248-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPLIN",
        "first_name": "WENDY",
        "middle_name": "ANN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS005962L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.