Cameryn N Long

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17919 Issued in CA

Practice address

4471 Stoneridge Dr Ste a
Pleasanton, CA 94588-8403

Phone

(925) 425-9071

NPI assigned

Jun 25, 2020

Reactivated

Aug 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapy at Play, Inc

  • Pediatric Occupational Therapist
  • San Ramon, CA
  • NPI 1326379298

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691280000000",
    "number": "1679190607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4471 STONERIDGE DR STE A",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4471 STONERIDGE DR STE A",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888403",
            "telephone_number": "925-425-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "CAMERYN",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2023-08-06",
        "certification_date": "2023-08-06",
        "deactivation_date": "2023-07-13",
        "reactivation_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Hsien-Chih Lo, MD
• Deborah V. Lobo, MD
• Nadia Ali Loewe, MFT
• Fred M Lombardo, LCSW
• Frederick Joseph Lombardo, CADCI
• Cynthia A Long, MSW, LCSW
• Julie A Long, MD
• Amy Liu Lynn Longacre, O.D.
• Longs Drug Stores California LLC (CVS Pharmacy #09251)
• Claudia Lopez Orozco

• Speech-Language Pathologist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2023; 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.