Healthcare Provider Details

I. General information

NPI: 1306973458
Provider Name (Legal Business Name): HOWARD G KAPLAN PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5415 N SHERIDAN RD APT 3108
CHICAGO IL
60640-1944
US

IV. Provider business mailing address

5415 N SHERIDAN RD APT 3108
CHICAGO IL
60640-1944
US

V. Phone/Fax

Practice location:
  • Phone: 949-230-2189
  • Fax:
Mailing address:
  • Phone: 949-230-2189
  • Fax: 949-947-9380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number25749
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0710010593
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number34847
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: