Prism Learning and Development, PLLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

4207 Issued in AZ

Legal business name

PRISM LEARNING AND DEVELOPMENT, PLLC

Practice address

7157 E Rancho Vista Dr Ste 7147B24
Scottsdale, AZ 85251-1494

Phone

(602) 904-3405

NPI assigned

Aug 18, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Lori Long, PH. D.

Title

Owner/Psychologist

Phone

(602) 904-3405

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503014400000",
    "number": "1972029205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7327 E MONTE VISTA RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852571458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7157 E RANCHO VISTA DR STE 7147B24",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852511494",
            "telephone_number": "602-904-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM LEARNING AND DEVELOPMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-08-18",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "602-904-3405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AZ",
            "license": "4207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Child & Adolescent Psychologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; 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.