Provider Demographics
NPI:1467854836
Name:KAPLAN, JAIME (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8415 BELLONA LN STE 107
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2015
Mailing Address - Country:US
Mailing Address - Phone:410-291-1779
Mailing Address - Fax:410-237-6385
Practice Address - Street 1:8415 BELLONA LN STE 107
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2015
Practice Address - Country:US
Practice Address - Phone:410-291-1779
Practice Address - Fax:410-237-6385
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-17
Last Update Date:2019-08-20
Deactivation Date:2019-02-05
Deactivation Code:
Reactivation Date:2019-02-13
Provider Licenses
StateLicense IDTaxonomies
390200000X
MD05645103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty