MEDICARE: DR. MARC ALLAN CAPLAN PHD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist	279	NM
2	103G00000X	Clinical Neuropsychologist	279	NM
3	103T00000X	Psychologist
4	103TF0200X	Forensic Psychologist	279	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952317950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC ALLAN CAPLAN PHD PA

Provider Business Mailing Address
First Line	:	PO BOX 249
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88004-0249
Country	:	US
Telephone Number	:	575-526-4222
Fax Number	:	575-526-4228

Provider Business Practice Location Address
First Line	:	637 N ALAMEDA BLVD
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88005-2129
Country	:	US
Telephone Number	:	575-526-4222
Fax Number	:	575-526-4228

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	04/28/2026

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