MARIE ANN LONG


Address: 7200 Bancroft Ave, Eastmont Town Center Bldg. B Suite 133, Oakland, CA 94605-2403
Phone: 5105538500

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 167G00000X Licensed Psychiatric Technician 22054 CA Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA ICM 1801983960 01

Other Providers MARIE LONG

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

Office Location

Street Address 7200 BANCROFT AVE
EASTMONT TOWN CENTER BLDG. B SUITE 133
City OAKLAND
State CA
Zip Code 94605-2403

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 167G00000X
Grouping Nursing Service Providers
Classification Licensed Psychiatric Technician

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City OAKLAND
Zip Code 94605

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Dataset Information

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.

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