NICHOLAS LONG (NPI# 1740370303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740370303 |
| Entity Type | Individual |
| Full Name | NICHOLAS LONG |
| Credential | PHD |
| Practice Address |
800 Marshall St # 653 Little Rock AR 72202-3510 |
| Practice Telephone | 5013641100 |
| Mailing Telephone | 5013641100 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
88-7P | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306989751 | Nicholas Clayton Long | Dentist | 872 The Alameda, San Jose, CA 95126 | 2007-02-15 |
| 1629512645 | Nicholas Long | Physician Assistant | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2016-12-09 |
| 1609285626 | Nicholas Long | Specialist/Technologist | 1600 Washington Ave, Conway, AR 72032-4115 | 2014-08-04 |
| 1407157985 | Nicholas Michael Long | Physical Therapist | 1823 College Ave, Manhattan, KS 66502 | 2010-11-15 |
| 1598094955 | Nicholas James Long | Physical Therapist | 11740 Columbia St, Blakely, GA 39823-2574 | 2009-12-15 |
| Street Address |
800 MARSHALL ST # 653 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72202-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124126081 | Matthew W. Jaeger | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-09-21 |
| 1649560855 | Ama Serwa Karikari | Student in an Organized Health Care Education/Training Program | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2011-04-10 |
| 1184939308 | Samah Mashhour Awad | Student in an Organized Health Care Education/Training Program | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2010-08-12 |
| 1639497084 | Bradford Thomas Schneider | Emergency Medicine | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2010-05-10 |
| 1861710550 | Sarah Colleen Bone | Student in an Organized Health Care Education/Training Program | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2010-05-05 |
| 1003133828 | Amber Michele Morse | Student in an Organized Health Care Education/Training Program | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2010-05-03 |
| 1093949117 | Lisa Credo | Specialist | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2009-05-04 |
| 1891961363 | Michael W White | Anesthesiology | 800 Marshall St # 653, Division of Pediatric Anesthesiology, Little Rock, AR 72202-3510 | 2008-05-05 |
| 1235204140 | Elton Cleveland | Family Medicine | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-11-24 |
| 1720159502 | Donald Mock | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116481 | Kendra Kay Romig | Physical Therapist | 1617 Brookwood Dr, Little Rock, AR 72202 | 2020-08-25 |
| 1467071845 | Allison Morton | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 589, Little Rock, AR 72202 | 2020-04-15 |
| 1568091593 | Hannah Elisabeth Smashey Lewis | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot: Ach 512-15, Little Rock, AR 72202 | 2020-04-02 |
| 1922569003 | Lily Suh | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 512-19a, Little Rock, AR 72202 | 2019-03-29 |
| 1629563374 | Heidi Marie Lightle | Audiologist | 1900 Maryland Street, Slot 113 Ach-audiology, Little Rock, AR 72202 | 2018-06-26 |
| 1053817916 | Daniel Harper | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 556, Little Rock, AR 72202 | 2018-03-31 |
| 1003320185 | Uday Kumar Chalwadi | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-17, Little Rock, AR 72202 | 2017-11-28 |
| 1770010209 | Auston Wilis | Counselor | 1707 W 12th St Ste 201, Little Rock, AR 72202 | 2017-05-15 |
| 1518499888 | Patrick Ayers | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-19a, Little Rock, AR 72202 | 2017-03-28 |
| 1508213497 | The Learning Curve Lactation Support LLC | Durable Medical Equipment & Medical Supplies | 1301 S. Louisiana St. Apt. 106, Little Rock, AR 72202 | 2016-05-20 |
| Find all providers in zip 72202 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043630734 | The Sage Center for Trauma and Wellness, Pllc | Psychologist | 2725 Cantrell Rd Ste 105, Little Rock, AR 72202-2044 | 2014-04-21 |
| 1134468895 | Brian Anderson | Psychologist | 1100 N University Ave Ste 108, Little Rock, AR 72207-6356 | 2013-01-31 |
| 1427300532 | Joy R. Pemberton | Psychologist | 4301 W. Markham, #554, Psychiatric Research Institute, Uams, Little Rock, AR 72205 | 2012-10-12 |
| 1548577521 | Laura Jane Gambone Nobles | Psychologist | 2723 Foxcroft Rd Ste 202a, Little Rock, AR 72227-6522 | 2010-09-11 |
| 1083858005 | George K. Simon Jr. | Psychologist | 1 Innwood Cir Ste 124, Little Rock, AR 72211-2448 | 2009-04-21 |
| 1730356825 | Tisha Lee Deen | Psychologist | 2723 Foxcroft Rd Ste 202, Little Rock, AR 72227-6522 | 2008-05-08 |
| 1205000403 | Meagan Rae Mcpherson | Psychologist | 10515 W Markham St Ste E3, Little Rock, AR 72205-2139 | 2008-04-17 |
| 1366635518 | Daniel John Broderick | Psychologist | 5 Chalamont Ct, Little Rock, AR 72223-5511 | 2007-08-21 |
| 1881894806 | Tracie L. Pasold | Psychologist | 800 Marshall St # 512-9, Dept. of Pediatrics, Section of Adolescent Medicine, Little Rock, AR 72202-3510 | 2007-07-18 |
| 1306976477 | Clinical Psychology Services, Inc. | Psychologist | 18 Corporate Hill Dr Ste 205, Little Rock, AR 72205-4541 | 2007-03-06 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72202 |
Please comment or provide details below to improve the information on NICHOLAS LONG.
| 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.