Healthcare Provider Details

I. General information

NPI: 1467854836
Provider Name (Legal Business Name): JAIME KAPLAN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2014
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date: 02/05/2019
Reactivation Date: 02/13/2019

III. Provider practice location address

8415 BELLONA LN STE 107
TOWSON MD
21204-2015
US

IV. Provider business mailing address

8415 BELLONA LN STE 107
TOWSON MD
21204-2015
US

V. Phone/Fax

Practice location:
  • Phone: 410-291-1779
  • Fax: 410-237-6385
Mailing address:
  • Phone: 410-291-1779
  • Fax: 410-237-6385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number05645
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: