Estela (Estelita) M Long, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 6533 Issued in FL

Practice address

4020 Sun City Center Blvd.
Suite 11
Sun City Center, FL 33573-5256

Phone

(813) 634-4700

Fax

(813) 634-4703

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Este Logic, P.a.

  • Clinical Psychologist
  • Sun City Center, FL
  • NPI 1417111782
  Medicare reassignment
• GPS II

  • Health Service Psychologist
  • Longboat Key, FL
  • NPI 1861740888
  NPD (past)
• John P McDonough III

  • Psychologist
  • Tampa, FL
  • NPI 1346280161
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474070400000",
    "number": "1700924826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 CYPRESS VILLAGE BLVD",
            "address_2": "STE A",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736832",
            "telephone_number": "813-634-4700",
            "fax_number": "813-634-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 SUN CITY CENTER BLVD.",
            "address_2": "SUITE 11",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735256",
            "telephone_number": "813-634-4700",
            "fax_number": "813-634-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ESTELA (ESTELITA)",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2016-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 6533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life-Ready Counseling Services, LLC
• Tess Lins, APRN
• Jinli Liu, M.D.
• Anna Lively, LMHC, NCC
• Antoinette Lloyd, MD
• Ambar Lopez, OTR/L
• Lucita Eliscard LLC
• Jennifer Lee Luna, PTA
• Yana Grace Lundblad, PHARMD
• Allison Lyle

• Clinical Psychologist in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.