Active NPI
Maggie Ruth Longberry, ED.S.
- School Psychologist
- Dayton, OH
National Provider Identifier
1134035223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- LSP.00415
- Practice address
- 2011 Timber LN
Dayton, OH 45414-4528 - Phone
- (937) 275-7469
- Fax
- (937) 274-5778
- NPI assigned
- Aug 20, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | LSP.00415 | OH | Primary |
Addresses
Primary practice location
2011 Timber LN
Dayton, OH 45414-4528
Mailing address
2011 Timber LN
Dayton, OH 45414-4528
Phone (937) 275-7469
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1134035223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 TIMBER LN",
"city": "DAYTON",
"state": "OH",
"postal_code": "454144528",
"telephone_number": "937-275-7469",
"fax_number": "937-274-5778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 TIMBER LN",
"city": "DAYTON",
"state": "OH",
"postal_code": "454144528",
"telephone_number": "937-275-7469",
"fax_number": "937-274-5778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGBERRY",
"first_name": "MAGGIE",
"middle_name": "RUTH",
"name_prefix": "Ms.",
"credential": "ED.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-20",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "OH",
"license": "LSP.00415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.