Healthcare Provider Details

I. General information

NPI: 1073657375
Provider Name (Legal Business Name): MARC A CAPLAN PHD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2007
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

637 N ALAMEDA BLVD
LAS CRUCES NM
88005-2129
US

IV. Provider business mailing address

PO BOX 249
LAS CRUCES NM
88004-0249
US

V. Phone/Fax

Practice location:
  • Phone: 505-526-4222
  • Fax: 505-526-4228
Mailing address:
  • Phone: 505-526-4222
  • Fax: 505-526-4228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number279
License Number StateNM

VIII. Authorized Official

Name: DR. MARC ALLEN CAPLAN
Title or Position: PSYCHOLOGIST
Credential: PHD PA
Phone: 505-526-4222