DR. GRACE M LONG (NPI# 1275668469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275668469 |
| Entity Type | Individual |
| Full Name | DR. GRACE M LONG |
| Credential | PH.D. |
| Practice Address |
642 S Alaska St Ste 218 Palmer AK 99645-6378 |
| Mailing Address |
Po Box 773 Palmer AK 99645-0773 |
| Practice Telephone | 9077461212 |
| Practice Fax Number | 9077467307 |
| Mailing Telephone | 9077461212 |
| Mailing Fax Number | 9077467307 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2011-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 480 | AK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | PSYCHOLOGY RESOURCES PC - GROUP NPI | 1841415320 | 01 |
| Street Address |
642 S ALASKA ST STE 218 |
| City | PALMER |
| State | AK |
| Zip Code | 99645-6378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| Find all providers in zip 99645 | ||||
| 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 |
|---|---|---|---|---|
| 1366727190 | Douglas A Smith | Psychologist | 42b Wright St, Palmer, MA 01069-1156 | 2011-10-12 |
| 1437481926 | Judy Margarete Cordell | Psychologist | 1825 S Chugach St, Palmer, AK 99645-6795 | 2010-02-08 |
| 1255953634 | Neurobehavior North, Inc. | Psychologist | 8201 N Michaelson St, Palmer, AK 99645-8196 | 2020-05-08 |
| 1053335422 | Claire Dayton Kuhn | Psychologist | 40 Wright Street, Wing Memorial Hospital Griswold Center, Palmer, MA 01069 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568086767 | Steffi Marotzke Kim | Psychologist | 2912 Seawind Dr, Anchorage, AK 99516-3455 | 2020-06-03 |
| 1528439536 | Elizabeth Jadahi Cintron | Psychologist | 20688 Halibut Cove Ln, Eagle River, AK 99577-8865 | 2015-10-16 |
| 1952788028 | Shannon M Isley | Psychologist | 615 E 82nd Ave Ste 102, Anchorage, AK 99518-3100 | 2015-04-28 |
| 1083004600 | Anne Nevaldine, Phd, Inc. | Psychologist | 711 Barrow St, Anchorage, AK 99501-3632 | 2015-02-03 |
| 1992089601 | Brittany Joy Kendall | Psychologist | 2440 E Tudor Rd Ste 240, Anchorage, AK 99507 | 2011-09-30 |
| 1063735132 | Lazur & Lazur, Ltd. | Psychologist | 101 E 9th Ave Ste 1a, Anchorage, AK 99501-3651 | 2010-03-03 |
| 1841521291 | Avalon Therapeutic Riding Stable | Psychologist | 11880 Mendenhall Loop Rd, Juneau, AK 99801-8662 | 2010-01-26 |
| 1295985281 | Mark G Moren | Psychologist | 23282 S. Talkeetna Spur Road, Talkeetna, AK 99676 | 2008-09-25 |
| 1134387939 | Anne Maile Lamoureux | Psychologist | Fort Richardson Scmh D Street, Behavioral Health Clinic, Anchorage, AK 99505 | 2008-05-28 |
| 1538345228 | Richard Francis Lazur | Psychologist | 101 E 9th Ave, Anchorage, AK 99501-3618 | 2008-01-13 |
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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.