MARIE ANN LONG (NPI# 1336206572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336206572 |
Entity Type | Individual |
Full Name | MARIE ANN LONG |
Credential | LPT |
Practice Address |
7200 Bancroft Ave Eastmont Town Center Bldg. B Suite 133 Oakland CA 94605-2403 |
Mailing Address |
9909 Bancroft Ave Oakland CA 94603-2815 |
Practice Telephone | 5105538500 |
Practice Fax Number | 5105538550 |
Mailing Telephone | 5105538500 |
Mailing Fax Number | 5105538550 |
Enumeration Date | 2007-01-03 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | 22054 | CA | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | ICM | 1801983960 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477661809 | Marie Louise Long | Neurological Surgery | 6775 Red Prairie Rd, Sheridan, OR 97378-9516 | 2006-08-27 |
1326697707 | Marie Long | Physical Therapist | 425 Revere St, Revere, MA 02151-4543 | 2019-09-09 |
1659631174 | Marie D Long | Home Health Aide | 1818 New York Ave Ste117, Global Healthcare, Washington, DC 20002 | 2012-05-17 |
1548312655 | Marie Long | Physical Therapist | 5736 Ne Glisan St, Portland, OR 97213-3750 | 2007-01-17 |
Street Address |
7200 BANCROFT AVE EASTMONT TOWN CENTER BLDG. B SUITE 133 |
City | OAKLAND |
State | CA |
Zip Code | 94605-2403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801816244 | Alexander Enacio Jackson | Social Worker | 7200 Bancroft Ave, Suite 125-d, Alameda County Bhcs, Oakland, CA 94605-2403 | 2006-07-20 |
1538777545 | Cynthia Solorza | Counselor | 7200 Bancroft Ave, Oakland, CA 94605-2403 | 2020-07-15 |
1154963338 | Grace Hong | Counselor | 7200 Bancroft Ave, Oakland, CA 94605-2403 | 2019-10-09 |
1114580636 | Sarah G Chaaito | Pharmacist | 7200 Bancroft Ave, Oakland, CA 94605-2403 | 2019-04-19 |
1558848796 | Kristina Marie Nestlerode | Counselor | 7200 Bancroft Ave, Oakland, CA 94605 | 2018-07-20 |
1558875864 | Lizeth Corina Torres Chavez | Specialist | 7200 Bancroft Ave, Oakland, CA 94605-2403 | 2017-11-22 |
1932637915 | Binh T Au | Social Worker | 7200 Bancroft Ave, Oakland, CA 94605-2403 | 2017-06-02 |
1922536374 | Kelli Clark | Social Worker | 7200 Bancroft Ave, Oakland, CA 94605-2403 | 2017-05-30 |
1558808741 | Karina Gabriela Paredes | Specialist | 7200 Bancroft Ave, Ste 267, Oakland, CA 94605-2403 | 2017-01-25 |
1306383088 | Kally Price | Registered Nurse | 7200 Bancroft Ave, # 204, Oakland, CA 94605-2403 | 2017-01-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
1285296475 | Veronica Aguila | Behavior Technician | 2949 Parker Ave, Oakland, CA 94605 | 2019-07-08 |
1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
1467930966 | Claudia Sanchez | Student in an Organized Health Care Education/Training Program | 7200 Bancroft Avenue, Suite 125d, Oakland, CA 94605 | 2018-08-06 |
1447768866 | The Alliance for Community Wellness | Community/Behavioral Health | 2369 84th Ave., Oakland, CA 94605 | 2018-01-19 |
1497204010 | Nekeisha Maxie | Specialist | 7200 Bancroft Ave. Bldg. B Suite 133, Oakland, CA 94605 | 2016-09-23 |
1073997110 | Sandra Lenoski | Social Worker | 7200 Bancroft Avenue, Building B, Suite 133, Oakland, CA 94605 | 2015-07-18 |
1366831414 | Wing Kit Leung | Physical Therapy Assistant | 2445 64th Ave, Oakland, CA 94605 | 2015-01-13 |
1558647735 | Jessica Welsh | Counselor | 8759 Mountain Blvd. Bldg. 69, Oakland, CA 94605 | 2011-11-01 |
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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 |
---|---|---|---|---|
1518589662 | Carol Lynn Davis | Licensed Psychiatric Technician | 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 | 2020-05-12 |
1073134581 | Matthew Mendez | Licensed Psychiatric Technician | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2020-05-06 |
1699317628 | Tameka R Purnell | Licensed Psychiatric Technician | 280 17th St, Oakland, CA 94612-4124 | 2019-10-10 |
1841507753 | Will E Gillyard | Licensed Psychiatric Technician | 2620 26th Ave, Oakland, CA 94601-1907 | 2010-09-13 |
1659418911 | Carol Ann Upton | Licensed Psychiatric Technician | 280 17th St, Oakland, CA 94612-4124 | 2007-01-30 |
1770629693 | Charles Paul Hastings | Licensed Psychiatric Technician | 4368 Lincoln Ave, Attention Nursing Office, Oakland, CA 94602-2529 | 2007-01-29 |
1720145923 | Luis Manuel Diaz | Licensed Psychiatric Technician | 7200 Bancroft Ave, Eastmont Town Center Bldg. B Suite 133, Oakland, CA 94605-2403 | 2007-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
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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.