NPIMap

Individual provider Active NPI

Davena Limitless Longshore, PHD

  • Research Study Specialist
  • Reno, NV
National Provider Identifier
1013521350
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Study SpecialistTaxonomy code 1744R1102X
Practice address
4781 Caughlin Pkwy
Reno, NV 89519-0906
Phone
(775) 826-3311
NPI assigned
Sep 3, 2020
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Cognitive & Behavioral Psychologist 103TB0200X
Forensic Psychologist 103TF0200X
Student in an Organized Health Care Education/Training Program 390200000X
Research Study Specialist 1744R1102X Primary

Addresses

Primary practice location

4781 Caughlin Pkwy
Reno, NV 89519-0906

Mailing address

1534 Iratcabal Dr
Sparks, NV 89436-8637
Phone (661) 617-9071

Other names 1

  • Dr. Davena Limitless Longshore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
University Alliance for Behavioral Care Inc., Dba Careintegra Psychologist PastSince Oct 1, 2023 Accepting new patients
County of Kern PastSince Aug 1, 2021 Accepting new patients
Nelson Psychological Services, LLC Psychologist PastSince Sep 1, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1013521350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 IRATCABAL DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368637",
            "telephone_number": "661-617-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4781 CAUGHLIN PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895190906",
            "telephone_number": "775-826-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGSHORE",
        "first_name": "DAVENA",
        "middle_name": "LIMITLESS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVENA",
            "last_name": "LONGSHORE",
            "middle_name": "LIMITLESS",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.