Dennis a. Long, M.D., S.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DENNIS A. LONG, M.D., S.C.

Practice address

2210 Dean St
Suite O-1
Saint Charles, IL 60175-1066

Phone

(630) 377-7660

Fax

(630) 587-4982

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dennis A. Long, M.D.NPI 1154454692

Title

President

Phone

(630) 377-7660

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dennis A. Long, M.D.

  • Psychiatry Physician
  • St Charles, IL
  • NPI 1154454692
  Authorized official Same address or phone

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1023293586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 DEAN ST",
            "address_2": "SUITE O-1",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601751066",
            "telephone_number": "630-377-7660",
            "fax_number": "630-587-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 DEAN ST",
            "address_2": "SUITE O-1",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601751066",
            "telephone_number": "630-377-7660",
            "fax_number": "630-587-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS A. LONG, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-377-7660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in St Charles, IL
• Providers in St Charles, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.