Individual provider Active NPI

Catherine Longa, PHD

  • Psychologist
  • Orlando, FL
National Provider Identifier
1558734533
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY8697 Issued in FL
Practice address
615 E Princeton St Ste 540
Orlando, FL 32803-1424
Phone
(407) 303-8877
Fax
(407) 303-8811
NPI assigned
Nov 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY8697 FL Primary

Addresses

Primary practice location

615 E Princeton St Ste 540
Orlando, FL 32803-1424

Mailing address

615 E Princeton St Ste 540
Orlando, FL 32803-1424
Phone (407) 303-8877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Feb 8, 2016 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Feb 8, 2016 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

615 E Princeton St
Ste 540
Orlando, FL 32803
Phone (407) 303-8127

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: clonga73440@adventhealth.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1558734533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST STE 540",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031424",
            "telephone_number": "407-303-8877",
            "fax_number": "407-303-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST STE 540",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031424",
            "telephone_number": "407-303-8877",
            "fax_number": "407-303-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGA",
        "first_name": "CATHERINE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.