DR. RICHELLE LONG (NPI# 1992140602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992140602 |
| Entity Type | Individual |
| Full Name | DR. RICHELLE LONG |
| Credential | PH.D. |
| Practice Address |
3331 Power Inn Rd Ste 140 Sacramento CA 95826-3889 |
| Practice Telephone | 9168751183 |
| Practice Fax Number | 9168756904 |
| Mailing Telephone | 9168751183 |
| Mailing Fax Number | 9168756904 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2017-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY27361 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3331 POWER INN RD STE 140 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95826-3889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134101454 | Robert O. Horst | Psychiatry & Neurology | 3331 Power Inn Rd Ste 140, Sacramento, CA 95826-3889 | 2005-11-14 |
| 1972125615 | Joseph K Dille | Student in an Organized Health Care Education/Training Program | 3331 Power Inn Rd Ste 140, Sacramento, CA 95826-3889 | 2020-05-16 |
| 1578025995 | Joanna Servin | Psychologist | 3331 Power Inn Rd Ste 140, Sacramento, CA 95826-3889 | 2019-04-03 |
| 1205355104 | Denette Boydking | Student in an Organized Health Care Education/Training Program | 3331 Power Inn Rd Ste 140, Sacramento, CA 95826-3889 | 2017-09-12 |
| 1396265815 | Shereen Jessica Cohen | Student in an Organized Health Care Education/Training Program | 3331 Power Inn Rd Ste 140, Sacramento, CA 95826 | 2017-06-26 |
| 1174999171 | Elizabeth Solomon Loyola | Psychologist | 3331 Power Inn Rd Ste 140, Sacramento, CA 95826-3889 | 2015-08-13 |
| 1285013177 | Jennifer Bob | Psychologist | 3331 Power Inn Rd Ste 140, Sacramento, CA 95826-3889 | 2015-05-25 |
| 1700807310 | Jessica Jean Vierra | Social Worker | 3331 Power Inn Rd Ste 140, Sacramento, CA 95826-3889 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688094 | Brooke Oliver | Behavior Technician | Sacramento 8801 Folsom Blvd., Ste. 195, Sacramento, CA 95826 | 2020-01-10 |
| 1679126908 | Albert Einstein Middle School /sacramento City Unified School District | Local Education Agency (LEA) | 9325 Mirandy Drive, Albert Einstein Middle School, Sacramento, CA 95826 | 2019-07-16 |
| 1487146833 | Sarah Collins | Counselor | 4212 Westporter Dr, Sacramento, CA 95826 | 2018-06-01 |
| 1831609221 | Stacey Ann Moote | Behavior Technician | 8795 La Riviera Dr 169, 169, Sacramento, CA 95826 | 2017-10-11 |
| 1033649041 | Joseph Stephen Rapozo | Counselor | 3600 Power Inn Road, Sacramento, CA 95826 | 2017-06-13 |
| 1497201289 | Maureen Belli-bomgardner | Counselor | 3201 Florin Perkins Road, Sacramento, CA 95826 | 2016-08-31 |
| 1316317613 | Tlcs, Inc. | Community/Behavioral Health | 9342 Tech Center Drive, Ste.600, Sacramento, CA 95826 | 2015-09-29 |
| 1942683479 | Tlcs, Inc. | Community/Behavioral Health | 9333 Tech Center Drive, Ste. 100, Sacramento, CA 95826 | 2015-07-01 |
| 1881071157 | Rene Frentzen | Case Manager/Care Coordinator | 9394 Tech Center Drive, Suite 200, Sacramento, CA 95826 | 2015-05-06 |
| 1184026262 | Bojana Pandurevic | Marriage & Family Therapist | 9343 Tech Center Drive, Suite 200, Sacramento, CA 95826 | 2014-09-21 |
| Find all providers in zip 95826 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356716039 | Nicole Hisaka | Psychologist | 3651 Business Dr, Sacramento, CA 95820 | 2015-12-07 |
| 1063587418 | Aubrey Elizabeth Joy | Psychologist | 1441 37th St, Sacramento, CA 95816-6701 | 2006-11-21 |
| 1093340713 | Madalynne Diaz | Psychologist | 9470 Micron Ave, Sacramento, CA 95827-2612 | 2020-03-04 |
| 1093239089 | Megan E Tudor | Psychologist | 2825 50th St, Uc Davis Mind Institute, Sacramento, CA 95817 | 2017-08-01 |
| 1285013177 | Jennifer Bob | Psychologist | 3331 Power Inn Rd Ste 140, Sacramento, CA 95826-3889 | 2015-05-25 |
| 1649697350 | Benjamin Smith Jr. | Psychologist | 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 | 2014-03-20 |
| 1831403195 | Carlina Ramirez Wheeler | Psychologist | 3555 Auburn Blvd, Sacramento, CA 95821-2005 | 2010-07-28 |
| 1447423959 | Regents of The Univ of Ca | Psychologist | 2825 50th St, Sacramento, CA 95817-2308 | 2008-04-04 |
| 1790844603 | Kenneth Henneth Patton | Psychologist | 2345 Fair Oaks Blvd, Kaiser Child Psychiatry Department, Sacramento, CA 95825-4708 | 2006-12-06 |
| 1063438687 | Tanya Lynn Holland | Psychologist | 3671 Business Dr, Sacramento, CA 95820-2165 | 2006-07-15 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95826 |
Please comment or provide details below to improve the information on DR. RICHELLE 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.