James T. Long, M.D., PH.D., Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G19016 Issued in CA

Legal business name

JAMES T. LONG, M.D., PH.D., INC.

Practice address

650 Moreno Ave
Los Angeles, CA 90049-4831

Phone

(310) 395-7392

Fax

(310) 394-7902

NPI assigned

Feb 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. James T. Long, M.D., PH.D.NPI 1538149398

Title

Owner

Phone

(310) 395-7392

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• James T Long, MD PHD

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1538149398
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1518207604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 MORENO AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494831",
            "telephone_number": "310-395-7392",
            "fax_number": "310-394-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MORENO AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494831",
            "telephone_number": "310-395-7392",
            "fax_number": "310-394-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES T. LONG, M.D., PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-395-7392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G19016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G19016",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James O. Eze
• James R. Katz, M.D., Inc.
• James Song Pharm.D. Pharmacy Inc.
• James T Scott MD a Professional Corporation
• James T. Black, DDS a Professional Dental Corporation
• James Y. Wang, MD, Inc.
• Brenda Joyce James-Johnson, CAS,RAS
• Kathryn James-Jolly
• Aaryn James
• Adelene R. James, MD

• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.