DR. RICHARD LEWIS LONG JR. (NPI# 1669687190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669687190 |
| Entity Type | Individual |
| Full Name | DR. RICHARD LEWIS LONG JR. |
| Credential | PSY.D. |
| Practice Address |
12880 Hillcrest Rd Suite 110 Dallas TX 75230-1532 |
| Practice Telephone | 9722333969 |
| Practice Fax Number | 9727281481 |
| Mailing Telephone | 9722333969 |
| Mailing Fax Number | 9727281481 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-12-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
32868 | TX | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
32868 | TX | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
32868 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235349986 | Richard P Long | Marriage & Family Therapist | 1350 15th Ave, Columbus, GA 31901-2308 | 2007-05-23 |
| 1124240304 | Richard Long | Counselor | First Street Old Clinic Building, Kwethluk, AK 99559 | 2007-05-03 |
| 1750392767 | Richard Earl Long | Pharmacist | 328 St John St, Havre De Grace, MD 21078 | 2006-08-11 |
| 1760452551 | Richard G Long | Dentist | 46 Office Park Dr, Jacksonville, NC 28546-3217 | 2006-01-24 |
| 1821099094 | Richard D Long | Orthopaedic Surgery | 1000 N Division St, Ste 100, Carson City, NV 89703-3929 | 2005-08-09 |
| 1912903071 | Richard J Long | Urology | 1999 Mowry Ave #2m, Fremont, CA 94538-1706 | 2005-06-23 |
| 1184242331 | Richard Anthony Long Jr. | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-07-13 |
| 1003457813 | Richard Long | Physical Therapist | 960 William T Morrissey Blvd, Dorchester, MA 02122-3206 | 2019-10-02 |
| 1497252233 | Richard Jonathan Long | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2018-04-09 |
| 1174062228 | Richard Long | Pharmacist | 10800 Magnolia Ave, Ps1 Pharmacy, Riverside, CA 92505-3043 | 2017-02-21 |
| Street Address |
12880 HILLCREST RD SUITE 110 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-1532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922044361 | Sleepmed Therapies Inc. | Durable Medical Equipment & Medical Supplies | 12880 Hillcrest Rd, Suite J208, Dallas, TX 75230-1532 | 2006-06-22 |
| 1992269187 | Layne Shidlofsky | Speech-Language Pathologist | 12880 Hillcrest Rd, Dallas, TX 75230-1532 | 2019-01-22 |
| 1932632056 | Mallory Camp | Speech-Language Pathologist | 12880 Hillcrest Rd, Suite 102, Dallas, TX 75230-1532 | 2017-04-05 |
| 1841723962 | Avery Whitmore | Speech-Language Pathologist | 12880 Hillcrest Rd, Suite 102, Dallas, TX 75230-1532 | 2017-04-05 |
| 1619372992 | Casey Rhea | Occupational Therapist | 12880 Hillcrest Rd, Suite 102, Dallas, TX 75230-1532 | 2014-10-28 |
| 1881039832 | Ronald Nevelow | Social Worker | 12880 Hillcrest Rd, Ste. J104, Dallas, TX 75230-1532 | 2013-05-03 |
| 1346525524 | Carewright Clinical Services | Psychologist | 12880 Hillcrest Rd, Suite J-215, Dallas, TX 75230-1532 | 2011-10-19 |
| 1790067254 | Michael Blaine Mcfarland | Psychologist | 12880 Hillcrest Rd, Suite J235, Dallas, TX 75230-1532 | 2011-09-12 |
| 1134415938 | Carewright Clinical Services | Psychologist | 12880 Hillcrest Rd, Dallas, TX 75230-1532 | 2011-06-21 |
| 1255667754 | Sarah Rabb Bennett | Social Worker | 12880 Hillcrest Rd, Suite 224, Dallas, TX 75230-1532 | 2009-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517267 | Hunter Boone Small | Psychologist | 5940 Forest Park Rd Apt 1100, Dallas, TX 75235-6444 | 2020-10-27 |
| 1144834268 | Jeffrey Baldridge | Psychologist | 8140 Walnut Hill Ln Ste 450, Dallas, TX 75231-4328 | 2020-09-04 |
| 1871104760 | Nicole Elizabeth Hooper | Psychologist | 1 Stonebriar Ct, Dallas, TX 75206-8812 | 2020-08-13 |
| 1992313522 | Aisha Iqbal | Psychologist | 5454 La Sierra Dr Ste 201, Dallas, TX 75231-2344 | 2020-07-20 |
| 1801430483 | Yaffa Podbilewicz-schuller | Psychologist | 6618 Elvedon Dr, Dallas, TX 75248-1324 | 2019-11-06 |
| 1578111993 | Anne Caroline Brasch | Psychologist | 6750 Hillcrest Plaza Dr Ste 206, Dallas, TX 75230-1438 | 2019-08-28 |
| 1215497672 | Tiffany Armstrong | Psychologist | 8350 N Central Expy Ste 1275, Dallas, TX 75206-1614 | 2019-03-21 |
| 1275001208 | Bryan Elliott Jester | Psychologist | 4100 Spring Valley Rd Ste 511, Dallas, TX 75244-3678 | 2018-11-07 |
| 1003398074 | Aaron Hands | Psychologist | 5646 Milton St Ste 740, Dallas, TX 75206 | 2018-09-05 |
| 1174001960 | Robert Butler Hampson | Psychologist | 5910 N. Central Expressway, Suite 1820, Dallas, TX 75206 | 2018-08-02 |
| Find all providers in DALLAS | ||||
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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.