Provider Demographics
NPI:1225044175
Name:KAPLAN, ROBERT GARY (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
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 1:3690 ORANGE PL STE 170
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4465
Mailing Address - Country:US
Mailing Address - Phone:216-642-8283
Mailing Address - Fax:216-937-0187
Practice Address - Street 1:3690 ORANGE PL STE 170
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4465
Practice Address - Country:US
Practice Address - Phone:216-642-8283
Practice Address - Fax:216-937-0187
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3518103TF0200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH5165553OtherAETNA PIN
OH9325912Medicare PIN
OHCP03024Medicare PIN