James Long, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

05-18P Issued in AR

Practice address

1100 N College Ave
Fayetteville, AR 72703-1944

Phone

(615) 355-3451

NPI assigned

Aug 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Senior Resolution Resources, Inc

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1760453914
  NPD (past)
• We Psychiatric Services PLLC

  • Psychologist
  • Little Rock, AR
  • NPI 1932174836
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1275526733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2429",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371671719",
            "telephone_number": "615-355-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031944",
            "telephone_number": "615-355-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "05-18P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCAL BCBS",
            "identifier": "5Y410",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC NPI#",
            "identifier": "1932174836",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Diane Long, PHARMD
• Christiane C Long, PHD, LCSW
• Danielle Long
• Donna Jane Long, APRN, FNP-BC
• Grace Taylor Long, PA
• Jenni Kay Long, LCSW
• Jerome Myron Long, M.D.
• Justin Long
• Patrick C Long, MD
• Samantha Lopez

• Clinical Psychologist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Clinical Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.