NPIMap

Organization Active NPI

Clio Long, LLC

  • Clinical Psychologist
  • Alexandria, VA
National Provider Identifier
1801255880
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004025 Issued in VA
Legal business name
CLIO LONG, LLC
Practice address
8101 Hinson Farm Rd Ste 117
Alexandria, VA 22306-3404
Phone
(703) 479-5610
NPI assigned
Feb 18, 2016
Last updated
Mar 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Authorized official

Name
Clio Long, PSY.DNPI 1598124638
Title
Owner
Phone
(703) 479-5610

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 0810004025 VA
Clinical Psychologist 103TC0700X 0810004025 VA Primary
Rehabilitation Psychologist 103TR0400X 0810004025 VA
Health Psychologist 103TH0004X 0810004025 VA

Addresses

Primary practice location

8101 Hinson Farm Rd Ste 117
Alexandria, VA 22306-3404

Mailing address

8101 Hinson Farm Rd Ste 117
Alexandria, VA 22306-3404
Phone (703) 479-5610

National Provider Directory

National Provider Directory

Locations

8101 Hinson Farm Rd
Ste 117
Alexandria, VA 22306
Phone (703) 479-5610

Practitioners & affiliated clinicians

Practitioners 4

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": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1801255880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD STE 117",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063404",
            "telephone_number": "703-479-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD STE 117",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063404",
            "telephone_number": "703-479-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIO LONG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "CLIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-479-5610",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810004025",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004025",
            "primary": true
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "VA",
            "license": "0810004025",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "VA",
            "license": "0810004025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.