Provider Demographics
NPI:1598721037
Name:JUDITH E. KAPLAN, MD, PS
Entity Type:Organization
Organization Name:JUDITH E. KAPLAN, MD, PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:ELINOR
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-522-8553
Mailing Address - Street 1:2271 NE 51ST ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-5713
Mailing Address - Country:US
Mailing Address - Phone:206-522-8553
Mailing Address - Fax:206-522-7815
Practice Address - Street 1:2271 NE 51ST ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-5713
Practice Address - Country:US
Practice Address - Phone:206-522-8553
Practice Address - Fax:206-522-7815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-24
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000223152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1099761Medicaid
WAKA7455OtherREGENCE BLUE SHIELD PROVI
WAKA7455OtherREGENCE BLUE SHIELD PROVI
P00096202Medicare ID - Type UnspecifiedRAILROAD MEDICARE