JODY LONG (NPI# 1386035814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386035814 |
| Entity Type | Individual |
| Full Name | JODY LONG |
| Practice Address |
3208 Oleander Dr Wilmington NC 28403-0800 |
| Mailing Address |
Po Box 15511 Wilmington NC 28408-5511 |
| Practice Telephone | 9107943929 |
| Practice Fax Number | 9107982303 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4690 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720576689 | Jody Renee Long | Dietitian, Registered | 4710 Spotsylvania Pkwy Ste 200, Fredericksburg, VA 22407-9433 | 2018-04-26 |
| 1558639294 | Jody Long | Nurse Practitioner | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2011-12-08 |
| 1548228307 | Jody G Long | Social Worker | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-05-02 |
| Street Address |
3208 OLEANDER DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-0800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053355719 | Brett A Gurkin | Psychiatry & Neurology | 3208 Oleander Dr, Wilmington, NC 28403-0800 | 2006-06-15 |
| 1659971372 | Kristyn Brie Deffinabugh | Counselor | 3208 Oleander Dr, Wilmington, NC 28403-0800 | 2020-10-30 |
| 1992215347 | Jaylyn Kempton | Social Worker | 3208 Oleander Dr, Wilmington, NC 28403-0800 | 2017-10-11 |
| 1134659535 | Danielle A Dest | Social Worker | 3208 Oleander Dr, Wilmington, NC 28403-0800 | 2017-06-18 |
| 1790217156 | Patricia Prichard | Social Worker | 3208 Oleander Dr, Wilmington, NC 28403-0800 | 2017-04-03 |
| 1982087250 | James William Pope | Counselor | 3208 Oleander Dr, Wilmington, NC 28403-0800 | 2015-07-06 |
| 1952715104 | Catherine Dalton | Social Worker | 3208 Oleander Dr, Wilmington, NC 28403-0800 | 2014-06-16 |
| 1790111698 | Kevin Titus Kleitches | Community/Behavioral Health | 3208 Oleander Dr, Wilmington, NC 28403-0800 | 2013-09-24 |
| 1093154270 | Kristie Leigh Brown | Counselor | 3208 Oleander Dr, Wilmington, NC 28403-0800 | 2013-06-20 |
| 1497191050 | Caitlin Lane Garner | Counselor | 3208 Oleander Dr, Wilmington, NC 28403-0800 | 2013-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547953 | Melanie F. Lipton | Psychologist | 1601 Kirkwood Hwy Fl 3, Wilmington, DE 19805-4917 | 2019-09-19 |
| 1063962512 | Toni D. Hickman, LLC | Psychologist | 36 Paxon Dr, Wilmington, DE 19803-2002 | 2016-10-08 |
| 1154771871 | Patricia Maynard | Psychologist | 230 Lowell St Ste 2-j, Wilmington, MA 01887-3087 | 2016-06-14 |
| 1881050904 | Toni Dean Hickman | Psychologist | 1813 Marsh Rd, Ste C, Wilmington, DE 19810-4544 | 2016-01-05 |
| 1396117040 | Stacey Marie Boyer | Psychologist | 405 Foulk Road, Wilmington, DE 19803 | 2015-10-21 |
| 1720383193 | Kristen Lane Sprout | Psychologist | 2417 Silverside Rd, Wilmington, DE 19810-4531 | 2011-01-17 |
| 1548564487 | Pamela Calvert-hirt | Psychologist | 326 Hampton Rd, Wilmington, DE 19803-2420 | 2011-01-07 |
| 1801199583 | Jill N Baillio | Psychologist | 205 S 5th Ave, Unit 3, Wilmington, NC 28401-4549 | 2010-12-17 |
| 1114151594 | Crossroads Counseling, P.C. | Psychologist | 4320 Wrightsville Ave, Suite B, Wilmington, NC 28403-6336 | 2009-05-13 |
| 1164663258 | Rah Inc. | Psychologist | 111 Chatham Pl, Wilmington, DE 19810-4441 | 2009-03-19 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on JODY 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.