Active NPI
Roberta Caplan, PH.D.
- Psychologist
- Waltham, MA
National Provider Identifier
1801936497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3631
- Practice address
- 415 South St
Mailman Building, Ms061
Waltham, MA 02453-2728 - Phone
- (781) 736-3734
- Fax
- (781) 736-3731
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3631 | MA | Primary |
Addresses
Primary practice location
415 South St
Mailman Building, Ms061
Waltham, MA 02453-2728
Mailing address
25 N Hancock St
Lexington, MA 02420-3406
Phone (781) 736-3734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2016 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3631 | MA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801936497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 N HANCOCK ST",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024203406",
"telephone_number": "781-736-3734",
"fax_number": "781-736-3731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 SOUTH ST",
"address_2": "MAILMAN BUILDING, MS061",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024532728",
"telephone_number": "781-736-3734",
"fax_number": "781-736-3731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPLAN",
"first_name": "ROBERTA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "3631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.