Beverly Long, Psy.D., L.P., LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LP1680 Issued in MN

Legal business name

BEVERLY LONG, PSY.D., L.P., LLC

Practice address

546 Winona St E
Saint Paul, MN 55107-2425

Phone

(651) 253-8438

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Beverly Jean Long, PSYDNPI 1306935804

Title

Psychologist

Phone

(651) 253-8438

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Tax ID family

Beverly Jean Long2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Beverly Jean Long

  • Psychologist
  • Saint Paul, MN
  • NPI 1588819551
  NPD tax ID

Locations

Practitioners 1

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

• Beverly Jean Long, PSY.D.

  • Cognitive & Behavioral Psychologist
  • Anoka, MN
  • NPI 1306935804
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1417147372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 WINONA ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072425",
            "telephone_number": "651-253-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 WINONA ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072425",
            "telephone_number": "651-253-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY LONG, PSY.D., L.P., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "651-253-8438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LP1680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Better Living MN LLC
• Mark W Bettes, DDS
• Erin Katharina Betts, MS, ATC
• Gesina Regina Beukes, RN
• Beverly Jean Long
• Bewell Psychotherapy PLLC
• Aimee Bey
• Joana Beyer, MD
• Melinda Anne Beyer
• Beyond Brink

• Community/Behavioral Health Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.