NPIMap

Organization Active NPI

Long Integrated Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1295510113
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LONG INTEGRATED PSYCHIATRIC SERVICES LLC
Practice address
1101 N Point Blvd Ste 131
Baltimore, MD 21224-3417
Phone
(410) 508-0722
Fax
(410) 834-1851
NPI assigned
Aug 29, 2023
Organization subpart
Yes
Parent organization
LONG INTEGRATED PSYCHIATRIC SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Erika Heavner
Title
Manager
Phone
(410) 508-0722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1101 N Point Blvd Ste 131
Baltimore, MD 21224-3417

Mailing address

11560 Crossroads Cir Ste 102
Middle River, MD 21220-2885
Phone (410) 508-0722

National Provider Directory

National Provider Directory
Tax ID family
Long Integrated Psych Serv4 organizations share this tax ID, including this one
Part of
Long Integrated Psych Serv

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1295510113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11560 CROSSROADS CIR STE 102",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202885",
            "telephone_number": "410-508-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N POINT BLVD STE 131",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243417",
            "telephone_number": "410-508-0722",
            "fax_number": "410-834-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG INTEGRATED PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONG INTEGRATED PSYCHIATRIC SERVICES LLC",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "HEAVNER",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-508-0722"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.