Zachary Thomas Longo, PSYD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

024061 Issued in NY

Practice address

139 Vly Rd
Albany, NY 12205-2212

Phone

(518) 608-4271

Fax

(518) 608-4269

NPI assigned

Jan 3, 2021

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

Electronic endpoints 1

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": "1609632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609632000000",
    "number": "1366030686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MARYLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054511",
            "telephone_number": "518-461-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 VLY RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122052212",
            "telephone_number": "518-608-4271",
            "fax_number": "518-608-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGO",
        "first_name": "ZACHARY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-03",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "024061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "zlongo@pwpractice.com",
            "affiliation": "N",
            "endpointDescription": "My Business Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Text",
            "address_1": "139 Vly Rd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122052212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jonathan Robert Long, MD
• Lynne Long, R.D., C.D.E.
• Sara Long, PHD
• Kelly Longacker, MSED, CAS, NCSP
• Christine McKeown Longo, M.D.
• Caitlyn Longway, PA-C
• Jordan Loon, MB BCH BAO
• Cassandra Lopane, PHARMD
• Lauren Lopansri
• Erin Lopata

• Clinical Child & Adolescent Psychologist in Albany, NY
• Providers in Albany, NY by specialty
• Clinical Child & Adolescent Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; 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.