DR. BETH COLLEEN LONG (NPI# 1164515532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164515532 |
| Entity Type | Individual |
| Full Name | DR. BETH COLLEEN LONG |
| Credential | PSYD |
| Practice Address |
1717 S Orange Ave Ste 100 Orlando FL 32806-2946 |
| Mailing Address |
10140 Centurion Pkwy N Jacksonville FL 32256-0532 |
| Practice Telephone | 4076507000 |
| Practice Fax Number | 4075675924 |
| Mailing Telephone | 9046974000 |
| Mailing Fax Number | 9046975102 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2018-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2530 | WI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9000 W Wisconsin Ave, Dept of Psychiatry, Milwaukee, WI 532263518 | 4142662932 | 4142663735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104275031 | Beth Long | Nurse Practitioner | 315 E Broadway, Suite 310, Louisville, KY 40202-3700 | 2016-06-10 |
| 1558545780 | Beth R Long | Nurse Practitioner | 4022 Liberty St, Milan, TN 38358-3453 | 2007-12-24 |
| Street Address |
1717 S ORANGE AVE STE 100 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-2946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710984802 | Kathleen N Adragna | Nurse Practitioner | 1717 S Orange Ave Ste 100, Orlando, FL 32806-2946 | 2005-07-05 |
| 1457816530 | Hallie Marie Ertel | Behavioral Analyst | 1717 S Orange Ave Ste 100, Orlando, FL 32806-2946 | 2019-02-04 |
| 1730502154 | Scott Mitchell | Social Worker | 1717 S Orange Ave Ste 100, Orlando, FL 32806-2946 | 2014-01-22 |
| 1093157901 | Amy Elizabeth Pfeiffer | Nurse Anesthetist, Certified Registered | 1717 S Orange Ave Ste 100, Orlando, FL 32806-2946 | 2013-07-19 |
| 1366796849 | Emily T. Hernandez | Pediatrics | 1717 S Orange Ave Ste 100, Orlando, FL 32806-2946 | 2012-11-05 |
| 1720338569 | Tracie Thompson Salber | Nurse Practitioner | 1717 S Orange Ave Ste 100, Nemours Children's Clinic, Orlando, FL 32806-2946 | 2012-09-19 |
| 1326395096 | Eva H. Nunlist | Pediatrics | 1717 S Orange Ave Ste 100, Nemours Childrens Clinic, Orlando, Orlando, FL 32806-2946 | 2012-08-13 |
| 1982963070 | Eric Christopher Clark | Nurse Anesthetist, Certified Registered | 1717 S Orange Ave Ste 100, Orlando, FL 32806-2946 | 2012-05-09 |
| 1508155318 | Kaylin M Fisher | Social Worker | 1717 S Orange Ave Ste 100, Nemours Childrens Clinic, Orlando, FL 32806-2946 | 2011-04-01 |
| 1497057608 | Karen Gail Kelly | Nurse Practitioner | 1717 S Orange Ave Ste 100, Nemours Childrens Clinic, Orlando, Orlando, FL 32806-2946 | 2010-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891330262 | Karly Branch | Psychologist | 4090 Libra Dr Ucf Counseling & Psychological Services, Orlando, FL 32816-0001 | 2019-11-08 |
| 1518520147 | Edith Arlene Gonzalez Sanchez | Psychologist | 13036 Waterford Wood Cir Apt 304, Orlando, FL 32828-6053 | 2019-04-18 |
| 1366914285 | Michael Ryan Stoyer | Psychologist | 4111 Pictor Ln Ste 203, Orlando, FL 32816-8032 | 2018-12-18 |
| 1831664481 | Adriana Lasanta Bondy | Psychologist | 5483 Vineland Rd Apt 10203, Orlando, FL 32811-7647 | 2018-10-10 |
| 1275026296 | Zoraida Josefina Garcia | Psychologist | 5028 City St Apt 2026, Orlando, FL 32839-4551 | 2018-06-13 |
| 1528584943 | Carlos Mario Davila Sr. | Psychologist | 7113 Lakner Way, Orlando, FL 32822 | 2017-08-17 |
| 1982125902 | Elizabeth Ann Shutt | Psychologist | 5401 S Kirkman Rd Ste 730, Orlando, FL 32819-7911 | 2017-06-29 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1588108096 | Family Psychology of Orlando | Psychologist | 5025 S Orange Ave, Suite 202, Orlando, FL 32809-3065 | 2016-12-19 |
| 1740637115 | Marines Vigo | Psychologist | 1114 Redman St, Apt B, Orlando, FL 32839 | 2016-05-16 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.