Bradly Alan Long

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

91279 Issued in CA

Practice address

3219 Pierce St
Richmond, CA 94804-5910

Phone

(510) 559-3013

NPI assigned

Jan 15, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1215113758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LAUREL AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602105",
            "telephone_number": "323-481-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 PIERCE ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948045910",
            "telephone_number": "510-559-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "BRADLY",
        "middle_name": "ALAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "80990",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "91279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Litten, PT
• Chung Hsien Liu
• Jesse Locke
• Cindy Paola Loebs, MSW
• Dylan Loi
• Longs Drug Stores California LLC
• Evelyn M.L. Loo, MD
• Cassandra Lopez Sanchez
• Marisela Lopez-Suarez
• Ashley Lopez

• Marriage & Family Therapist in Richmond, CA
• Providers in Richmond, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.