Jennifer Long

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

7410 Boynton Beach Blvd Ste B1
Boynton Beach, FL 33437-6157

Phone

(561) 223-1650

Fax

(561) 484-5091

NPI assigned

May 11, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Therapeutic Treehouse, LLC

  • Early Intervention Provider Agency
  • Boynton Beach, FL
  • NPI 1952993834

  Behavior Analyst

  NPD
• Foundations Therapy, Inc.

  • Hearing and Speech Clinic/Center
  • Coral Springs, FL
  • NPI 1013660083
  NPD (past)
• Foundations Therapy, Inc.

  • Early Intervention Provider Agency
  • Coral Springs, FL
  • NPI 1639219389
  NPD (past)

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1316393085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654162",
            "telephone_number": "954-344-6550",
            "fax_number": "954-344-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 BOYNTON BEACH BLVD STE B1",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376157",
            "telephone_number": "561-223-1650",
            "fax_number": "561-484-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logique Medical Care Services, LLC
• Joseph F Logiudice, PH.D
• Mayra R Lomonaco, M.D.
• Frank D Lomonico
• Monica Londono, APRN
• Olivia Marie Longchamps, LCSW
• Maria Cecilia Cecilia Lopes, RN
• Anne Lopez Ashouri, MD
• Franz Hugo Nelson Lopez Padilla, MD
• Miguel Angel Lopez-Viego, MD

• Developmental Therapist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.