MICHAEL JOSEPH LONG (NPI# 1629413067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629413067 |
Entity Type | Individual |
Full Name | MICHAEL JOSEPH LONG |
Practice Address |
605 W Olympic Blvd Ste 600 Los Angeles CA 90015-1475 |
Practice Telephone | 2132369388 |
Practice Fax Number | 2134897993 |
Mailing Telephone | 2132369388 |
Mailing Fax Number | 2134897993 |
Enumeration Date | 2013-04-29 |
Last Update Date | 2013-04-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | 34981 | CA | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
1184096182 | Michael Keith Long | Registered Nurse | 606 N Kanawha St, Beckley, WV 25801-3819 | 2015-10-29 |
1679982110 | Michael Long | Pharmacist | 687 150th Ave, Monmouth, IL 61462-8719 | 2014-08-08 |
1457545097 | Michael Brandon Long | Counselor | 541 Veloce Trl, Fort Mill, SC 29715-7826 | 2007-08-28 |
1700905445 | Michael Ray Long | Acupuncturist | 1879 Portola Rd Ste L, Ventura, CA 93003-8095 | 2007-03-27 |
1538234745 | Michael Walter Long | Dentist | 78461 Highway 111, Plaza Dental Group, La Quinta, CA 92253-2076 | 2006-11-22 |
1205858578 | Michael Golden Long | Dentist | 7730 N Fresno St, Ste. 102, Fresno, CA 93720-2408 | 2006-07-24 |
1043239775 | Michael Arlin Long | Physician Assistant | 450 4th St., Dassel, MN 55325 | 2006-07-19 |
1053394700 | Michael Harrison Long | Physician Assistant | 870 Summit Crossing Pl, Gastonia, NC 28054 | 2005-11-28 |
1790336998 | Michael Thomas Long | Psychologist | 921 Chester Pike, Sharon Hill, PA 19079-1411 | 2019-09-27 |
Street Address |
605 W OLYMPIC BLVD STE 600 |
City | LOS ANGELES |
State | CA |
Zip Code | 90015-1475 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558485912 | Angela Kang | Social Worker | 605 W Olympic Blvd Ste 600, Los Angeles, CA 90015-1475 | 2007-03-19 |
1578986600 | Ema Hernandez | Case Manager/Care Coordinator | 605 W Olympic Blvd Ste 600, Los Angeles, CA 90015-1475 | 2014-01-24 |
1750711958 | Justin Kumar | Student in an Organized Health Care Education/Training Program | 605 W Olympic Blvd Ste 600, Los Angeles, CA 90015-1475 | 2013-11-25 |
1154756781 | Monica Cecilia Santana | Licensed Vocational Nurse | 605 W Olympic Blvd Ste 600, Los Angeles, CA 90015-1475 | 2013-09-13 |
1306270392 | Rata M Hannemann | Community Health Worker | 605 W Olympic Blvd Ste 600, Los Angeles, CA 90015-1475 | 2013-08-26 |
1720412869 | Almas Hatima Haider | Case Manager/Care Coordinator | 605 W Olympic Blvd Ste 600, Los Angeles, CA 90015-1475 | 2013-08-26 |
1942634936 | Ruth Satele | Community Health Worker | 605 W Olympic Blvd Ste 600, Los Angeles, CA 90015-1475 | 2013-08-26 |
1427496975 | Emily Harris | Counselor | 605 W Olympic Blvd Ste 600, Los Angeles, CA 90015-1475 | 2013-06-06 |
1811335540 | Steve Mar | Case Manager/Care Coordinator | 605 W Olympic Blvd Ste 600, Los Angeles, CA 90015-1475 | 2013-06-04 |
1891130233 | Anthony Cosme-peko | Community Health Worker | 605 W Olympic Blvd Ste 600, Los Angeles, CA 90015-1475 | 2013-04-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
1225650955 | Luis Alvarado | Student in an Organized Health Care Education/Training Program | 1150 S. Olive Street, Suite 1400, Los Angeles, CA 90015 | 2020-05-15 |
1386290385 | Amy M Powell | Student in an Organized Health Care Education/Training Program | 1140 S.olive Street Ste #1427, Los Angeles, CA 90015 | 2019-08-15 |
1881170199 | Angie Andreina Trias Sanchez | Student in an Organized Health Care Education/Training Program | 936 S Olive St Apt 154, Los Angeles, CA 90015 | 2018-07-19 |
1083148753 | Central Neighborhood Health Foundation - Fontana | Clinic/Center | 714 W. Olympic Blvd Suite # 801, Los Angeles, CA 90015 | 2017-04-19 |
1255871711 | Ethan Lin | Student in an Organized Health Care Education/Training Program | 1401 S. Grand Ave. Suite 101, Residency Program, Los Angeles, CA 90015 | 2017-03-03 |
1972055093 | Yvonne Perez | Social Worker | 1150 South Hill St, Suite H-375, Los Angeles, CA 90015 | 2016-10-25 |
1356896492 | Mayano Ochi | Midwife | 1513 S Grand Ave Ste 250, Los Angeles, CA 90015 | 2016-08-18 |
1518321686 | Cielo Reyna-donaldson | Registered Nurse | 1520 South Olive Street, Los Angeles, CA 90015 | 2016-04-05 |
1891175774 | Amanecer Community Counseling Service | Community/Behavioral Health | 1500 S Olive St Rm 506, Los Angeles, CA 90015 | 2015-06-04 |
Find all providers in zip 90015 |
Taxonomy Code | 167G00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Psychiatric Technician |
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
1548776404 | Destiny Ann Galvan | Licensed Psychiatric Technician | 679 New Hamshire Ave, Los Angeles, CA 90005 | 2017-12-14 |
1255716098 | Grace Junko Gerardo | Licensed Psychiatric Technician | 226 S. Ave. 52, Los Angeles, CA 90042-4504 | 2015-07-22 |
1457786147 | Griselda Flores | Licensed Psychiatric Technician | 2600 Wilshire Blvd, Los Angeles, CA 90057-3400 | 2013-09-12 |
1427104728 | Leslie Michelle Blakeney | Licensed Psychiatric Technician | 529 S Maple Ave., Los Angeles, CA 90013 | 2007-01-27 |
1467064717 | Jessica Vazquez | Licensed Psychiatric Technician | 679 S New Hampshire Ave Ste 400, Los Angeles, CA 90005-1355 | 2020-08-18 |
1558996512 | Yvonne Elisa Molina | Licensed Psychiatric Technician | 470 E 3rd St Ste C, Los Angeles, CA 90013-1630 | 2020-03-10 |
1407403439 | Leanna Lynn Ramirez | Licensed Psychiatric Technician | 1711 W Temple St, Los Angeles, CA 90026-5421 | 2019-08-23 |
1992357404 | Bernadette Chavez | Licensed Psychiatric Technician | 5201 S Vermont Ave, Los Angeles, CA 90037-3527 | 2019-07-15 |
1366000556 | Tyler Shirk | Licensed Psychiatric Technician | 600 St Paul Ave Ste 200, Los Angeles, CA 90017-5686 | 2019-06-03 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90015 |
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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.