ILYSSA MELANIE KAPLAN
NPI 1396319588
Psychologist - Clinical in New York, NY

Active since May 13, 2021Opted out of Medicare · through Dec 11, 2026
1641 3RD AVE APT 23C, NEW YORK, NY 10128(732) 570-9041 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2025, Feb 23, 2023, May 13, 2021 (3 updates tracked since 2021).

About Ilyssa Melanie Kaplan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILYSSA MELANIE KAPLAN (NPI 1396319588) is an individual clinical provider in New York, New York, licensed in New York (024534) and active in the NPI registry since May 2021. She has opted out of Medicare through December 11, 2026.

NPPES Registry Identity

NPI1396319588
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameILYSSA MELANIE KAPLAN
Location Address1641 3RD AVE APT 23CNew York, NY 10128-3632
Mailing Address370 Lexington Ave Rm 1200New York, NY 10017-6584
Sole ProprietorNo
Enumeration DateMay 13, 2021
Last NPPES UpdateMay 22, 20253 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
NPI 1396319588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NY · 024534
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License 024534 (NY)
1641 3RD AVE APT 23C, New York, NY 10128

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ilyssa Melanie Kaplan has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 11, 2024 through December 11, 2026.

Opt-Out Effective DateDecember 11, 2024
Opt-Out In Effect ThroughDecember 11, 2026Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ilyssa Kaplan's NPI number?

The NPI number for Ilyssa Kaplan is 1396319588. It was assigned to this individual provider in the NPPES registry on May 13, 2021.

Where is Ilyssa Kaplan located?

Ilyssa Kaplan practices at 1641 3rd Ave Apt 23C, New York, NY 10128. The listed phone number is (732) 570-9041.

What is Ilyssa Kaplan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ilyssa Kaplan enrolled in Medicare?

No. Ilyssa Kaplan has opted out of Medicare through December 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ilyssa Kaplan was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.