JEFFERY S LONG (NPI# 1548591233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548591233 |
| Entity Type | Individual |
| Full Name | JEFFERY S LONG |
| Credential | PH.D. |
| Practice Address |
3310 Croasdaile Dr Ste 400 Durham NC 27705-6806 |
| Practice Telephone | 9193849682 |
| Practice Fax Number | 9193849683 |
| Mailing Telephone | 9193849682 |
| Mailing Fax Number | 9193849683 |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2013-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 4306 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932284700 | Jeffery Long | Family Medicine | 692 N. Maple, Herscher, IL 60941 | 2006-10-27 |
| 1184656316 | Jeffery Long | Obstetrics & Gynecology | 650 Huebner Rd, Ob/gyn, Fort Riley, KS 66442-4030 | 2006-07-07 |
| Street Address |
3310 CROASDAILE DR STE 400 |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-6806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023104254 | Kristine Marie Herfkens | Clinical Neuropsychologist | 3310 Croasdaile Dr Ste 400, Durham, NC 27705-6806 | 2006-10-05 |
| 1114407152 | Steven Carl Erickson | Psychologist | 3310 Croasdaile Dr Ste 400, Durham, NC 27705-6806 | 2018-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891248795 | Anna Elizabeth Craig | Clinical Neuropsychologist | 20 W Colony Pl Ste 230, Durham, NC 27705-5577 | 2016-07-27 |
| 1225333057 | Patrick Logue | Clinical Neuropsychologist | 14 Harvey Pl, Durham, NC 27705-5628 | 2011-01-26 |
| 1770630949 | Lynda Jacqueline Katz | Clinical Neuropsychologist | 3916 Westchester Rd, Durham, NC 27707-5067 | 2007-01-03 |
| 1023104254 | Kristine Marie Herfkens | Clinical Neuropsychologist | 3310 Croasdaile Dr Ste 400, Durham, NC 27705-6806 | 2006-10-05 |
| 1972989846 | Saule Kulubekova | Clinical Neuropsychologist | 508 Fulton St, Durham, NC 27705-3875 | 2015-08-03 |
| 1750713194 | Next Step Psychology Pllc | Clinical Neuropsychologist | 5318 Highgate Dr, Suite 132, Durham, NC 27713-6630 | 2013-08-08 |
| 1740535723 | Dana Kristen Webber | Clinical Neuropsychologist | 3310 Croasdaile Dr, Suite 400, Durham, NC 27705-6806 | 2012-07-17 |
| 1548557465 | Ioan Stroescu | Clinical Neuropsychologist | 3310 Croasdaile Dr, Suite 400, Durham, NC 27705-6806 | 2011-06-29 |
| 1689982241 | Chanequa Japhette Walker-barnes | Clinical Neuropsychologist | 5315 Highgate Dr, Suite 102, Durham, NC 27713-6623 | 2010-09-16 |
| 1306176490 | Carolyn Pender Roche | Clinical Neuropsychologist | 5318 Highgate Dr, Suite 132, Durham, NC 27713-6630 | 2010-01-12 |
| Find all providers in DURHAM | ||||
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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.