Provider Demographics
NPI:1174822019
Name:KAPLAN, SCOTT (PHD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:
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 1:1503 FRANK AVE
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-3522
Mailing Address - Country:US
Mailing Address - Phone:312-882-3344
Mailing Address - Fax:
Practice Address - Street 1:30 N MICHIGAN AVE STE 1820
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3639
Practice Address - Country:US
Practice Address - Phone:312-882-3344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071008091103TC0700X
KS1915103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical