NPIMap

Organization Active NPI

The Long Center for Psychology, PLLC

  • Psychologist
  • Franklin, NC
National Provider Identifier
1659524098
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3238 Issued in NC
Legal business name
THE LONG CENTER FOR PSYCHOLOGY, PLLC
Practice address
258 Lopes Cir
Franklin, NC 28734-3527
Phone
(828) 524-4110
Fax
(828) 349-8983
NPI assigned
Oct 29, 2008
Last updated
Jul 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Dr. Rebecca A. Long, PSY.D.NPI 1699794610
Title
Psychologist/Manager
Phone
(828) 524-4110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3238 NC Primary

Addresses

Primary practice location

258 Lopes Cir
Franklin, NC 28734-3527

Mailing address

PO Box 2076
Franklin, NC 28744-2076
Phone (828) 524-4110

Other identifiers 1

IdentifierTypeStateIssuer
6006578MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081211000800 NC Part B Supplier - Clinic/Group Practice 0840351631 Receives reassigned benefits from 2 practitioners
Practice locations: Franklin, NC

National Provider Directory

National Provider Directory
Tax ID family
The Long Center for Psychology2 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.

Locations

2588 Highlands Rd
Franklin, NC 28734
Phone (828) 369-7771

411 Highlands Rd
Franklin, NC 28734
Phone (828) 524-4110

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1659524098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2076",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287442076",
            "telephone_number": "828-524-4110",
            "fax_number": "828-349-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 LOPES CIR",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287343527",
            "telephone_number": "828-524-4110",
            "fax_number": "828-349-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LONG CENTER FOR PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PSYCHOLOGIST/MANAGER",
        "authorized_official_telephone_number": "828-524-4110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006578",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.