MRS. MELISSA JO LONG (NPI# 1407029606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407029606 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA JO LONG |
| Credential | LPE-I |
| Practice Address |
205 N 26th St Arkadelphia AR 71923-4336 |
| Mailing Address |
125 Wellness Way Hot Springs AR 71913-6478 |
| Practice Telephone | 8702464123 |
| Practice Fax Number | 8702464184 |
| Mailing Telephone | 5016247111 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
06-11EI | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 227955719 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364755 | Melissa Long | Peer Specialist | 7110 Sw Fir Loop Ste 160, Tigard, OR 97223-8031 | 2019-03-11 |
| 1629522560 | Melissa Long | Speech-Language Pathologist | 1525 Spiced Wine Ave Unit 7101, Henderson, NV 89074-2999 | 2016-08-09 |
| 1144867367 | Melissa Long | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-5137 | 2019-12-06 |
| 1275035982 | Melissa Long | Pharmacist | 350 Parrish St, Canandaigua, NY 14424-1731 | 2018-03-08 |
| 1053769083 | Melissa Long | Physical Therapist | 111 Headwaters Dr, Harwich, MA 02645-1028 | 2016-05-31 |
| 1033598230 | Melissa Christine Long | Physician Assistant | 2700 Dolbeer St, Eureka, CA 95501-4736 | 2015-05-21 |
| 1659767754 | Melissa Long | Registered Nurse | 7055 Samuel Morse Dr Ste 200, Columbia, MD 21046-3441 | 2015-04-15 |
| 1023434438 | Melissa Catherine Long | Nurse Practitioner | 3601 Tvc, Nashville, TN 37232-0001 | 2014-03-10 |
| 1649619768 | Melissa Long | Nurse Practitioner | 3880 Salem Lake Dr, F, Long Grove, IL 60047-5292 | 2013-06-21 |
| 1336491067 | Melissa Beth Long | Registered Nurse | 1034 N 500 W, Provo, UT 84604-3380 | 2012-10-04 |
| Street Address |
205 N 26TH ST |
| City | ARKADELPHIA |
| State | AR |
| Zip Code | 71923-4336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508420266 | Diana L Leon | Behavior Technician | 205 N 26th St, Arkadelphia, AR 71923-4336 | 2019-04-29 |
| 1679079990 | Christine Marie Dickson | Counselor | 205 N 26th St, Arkadelphia, AR 71923 | 2018-04-04 |
| 1225314461 | Robin Campbell | Behavior Technician | 205 N 26th St, Arkadelphia, AR 71923-4336 | 2011-11-02 |
| 1619115052 | Betsy Mcmahan | Counselor | 205 N 26th St, Arkadelphia, AR 71923-4336 | 2009-01-22 |
| 1699928135 | Ouachita Regional Counseling & Mental Health Center, Inc. | Clinic/Center | 205 N 26th St, Arkadelphia, AR 71923-4336 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053512 | Lacey Griffin | Pharmacist | 109 Wp Malone Drive, Arkadelphia, AR 71923 | 2020-11-05 |
| 1528478955 | Baptist Health | Clinic/Center | 10 Montgomery Drive, Caddo Valley, AR 71923 | 2014-05-07 |
| 1770923724 | Amber Dawn Jones | Nurse Practitioner | 10 Montgomery Dr, Caddo Valley, AR 71923 | 2013-07-04 |
| 1699050872 | Timothy R Phelan | Pharmacist | 131 N 26 St, Walgreens, Arkadelphia, AR 71923 | 2011-10-19 |
| 1083924229 | Misty Cox | Health Educator | 2410 Pine Street, Arkadelphia, AR 71923 | 2010-10-20 |
| 1942433677 | James W. Hankins, D.d.s., P.a. | Dentist | 2840 Twin Rivers Dr., Arkadelphia, AR 71923 | 2009-08-28 |
| 1003027061 | William Coke Viser | Counselor | 94 Pinnacle Drive, Arkadelphia, AR 71923 | 2007-05-24 |
| 1184843773 | Renski Davis-buckley | Case Manager/Care Coordinator | 524 N. Clark, Arkadelphia, AR 71923 | 2007-04-24 |
| 1407988355 | State of Arkansas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Prator Drive, Arkadelphia, AR 71923 | 2007-03-09 |
| 1003945734 | Danita Stubbs | Case Manager/Care Coordinator | 2607 Caddo Street, Arkadelphia, AR 71923 | 2007-03-06 |
| Find all providers in zip 71923 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973350 | Brandon J Griffin | Psychologist | 4281 Highway 201 S, Mountain Home, AR 72653-5543 | 2019-10-10 |
| 1194297648 | John M Ray | Psychologist | 2200 Fort Roots Dr 116b/nlr, North Little Rock, AR 72114-1709 | 2018-12-21 |
| 1699279158 | Eva N Woodward | Psychologist | 2200 Fort Roots Drive, 152 Nlr, North Little Rock, AR 72114-1709 | 2018-03-20 |
| 1265950034 | Elizabeth Chaisson | Psychologist | 1 W Mountain St Ste 307, Fayetteville, AR 72701-6068 | 2017-08-31 |
| 1962944579 | Gary J. Oliver | Psychologist | 2000 W University St, Siloam Springs, AR 72761-2112 | 2016-11-14 |
| 1922470020 | Savanna Cloer Mccain Phd, Pa | Psychologist | 4257 N Gabel Dr # 2b, Fayetteville, AR 72703-5004 | 2015-10-28 |
| 1679970214 | Kenneth Hobby | Psychologist | 910 E Park Ave, Ezell Center, Office 112, Searcy, AR 72143 | 2014-11-25 |
| 1043630734 | The Sage Center for Trauma and Wellness, Pllc | Psychologist | 2725 Cantrell Rd Ste 105, Little Rock, AR 72202-2044 | 2014-04-21 |
| 1265853378 | Renee Gibbs | Psychologist | 2200 Fort Roots Dr # 116b, North Little Rock, AR 72114-1709 | 2013-12-17 |
| 1922434729 | Hillary R. Hunt, Ph.d., Pllc | Psychologist | 3401 Rogers Ave, Suite B, Fort Smith, AR 72903-2956 | 2013-09-25 |
| Find all providers with the same taxonomy | ||||
| City | ARKADELPHIA |
| Zip Code | 71923 |
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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.