C Frederick De Long, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PS006601L Issued in PA

Practice address

14 Forest Rd
Wayne, PA 19087-3204

Phone

(610) 688-0418

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Fred De Long Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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

• Advanced Behavioral Care

  • Clinical Psychologist
  • Media, PA
  • NPI 1346482841
  NPD (past)
• Phoenix Therapy Services, LLC

  • Psychologist
  • Pittsburgh, PA
  • NPI 1245564285
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1174538581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FOREST RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873204",
            "telephone_number": "610-688-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 FOREST RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873204",
            "telephone_number": "610-688-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LONG",
        "first_name": "C",
        "middle_name": "FREDERICK",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS006601L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRED",
            "last_name": "DE LONG",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hilda Daniel, MD
• Jahnavi R Dave, D.M.D
• Erin Davidson, OT
• Molly Adelaide Davis, MSS, LSW
• Robert Richard Davis, CRNP
• Nicole Deakins, DMD
• Megan Delaney, OTR/L
• Paula Thomas Delong, MA
• Suzanne Polcyn Deluca, PT
• Nathanael Desantana, MS

• Counseling Psychologist in Wayne, PA
• Providers in Wayne, PA by specialty
• Counseling Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.