Individual provider Active NPI

Rebecca Ann Long, PSY.D.

  • Psychologist
  • Franklin, NC
National Provider Identifier
1699794610
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3238 Issued in NC
Practice address
258 Lopes Cir
Franklin, NC 28734-3527
Phone
(828) 524-4110
Fax
(828) 349-8983
NPI assigned
Jul 19, 2006
Last updated
Jul 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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

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 28734-3002
Phone (828) 524-4110

Other identifiers 1

IdentifierTypeStateIssuer
6000912MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061025000746 NC Practitioner - Clinical Psychologist 5597709238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

258 Lopes Cir
Franklin, NC 28734-3527
Phone (828) 524-4110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3238NCMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Long Center for Psychology Current Accepting new patients
The Long Center for Psychology, PLLC Psychologist CurrentSince Aug 18, 2008 Accepting new patients
D Duncan Sumpter, P.C., PastSince Apr 14, 2013 Accepting new patients

Locations

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1699794610",
    "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": "287343002",
            "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": {
        "last_name": "LONG",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000912",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, NC

Sources for this page

Verify at the official NPI Registry.