Provider Demographics
NPI:1053457366
Name:KAPLAN, ALAN GARY (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:GARY
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 BEACON STREET
Mailing Address - Street 2:#253
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-3200
Mailing Address - Country:US
Mailing Address - Phone:617-731-8181
Mailing Address - Fax:781-861-2057
Practice Address - Street 1:1330 BEACON STREET
Practice Address - Street 2:#253
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-3200
Practice Address - Country:US
Practice Address - Phone:617-731-8181
Practice Address - Fax:781-861-2057
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3639103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW03628Medicare UPIN