Provider Demographics
NPI:1386745172
Name:KAPLAN, SCOTT (LMFT)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 PINELAND DR STE 201
Mailing Address - Street 2:
Mailing Address - City:NEW GLOUCESTER
Mailing Address - State:ME
Mailing Address - Zip Code:04260-5121
Mailing Address - Country:US
Mailing Address - Phone:207-688-8622
Mailing Address - Fax:207-688-8622
Practice Address - Street 1:60 PINELAND DR
Practice Address - Street 2:SUITE 310
Practice Address - City:NEW GLOUCESTER
Practice Address - State:ME
Practice Address - Zip Code:04260-5124
Practice Address - Country:US
Practice Address - Phone:207-688-8622
Practice Address - Fax:207-688-8622
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMF1594106H00000X
MEMF 1594106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME2007603OtherCIGNA BEHAVIORAL HEALTH
ME11583591OtherCAQH CREDENTIALLING ID
ME284440099Medicaid
ME100579OtherANTHEM BC/BS