MR. CHARLES ANTHONY LONG (NPI# 1740271337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740271337 |
| Entity Type | Individual |
| Full Name | MR. CHARLES ANTHONY LONG |
| Credential | MFT |
| Practice Address |
5480 Baltimore Dr Suite 202 La Mesa CA 91942 |
| Practice Telephone | 6194620199 |
| Practice Fax Number | 6194647772 |
| Mailing Telephone | 6194620199 |
| Mailing Fax Number | 6194647772 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2008-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC33504 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962531954 | Charles Martin Long | Technician/Technologist | 7777 Southwest Fwy Ste 106, Houston, TX 77074-1805 | 2007-03-05 |
| 1679183727 | Charles Long | Specialist | 512 30th Ave E Ste 100, Alexandria, MN 56308-5096 | 2020-08-04 |
| 1417482167 | Charles W Long | Orthopaedic Surgery | 230 N Broad St, Philadelphia, PA 19102-1121 | 2017-05-01 |
| 1780035220 | Charles Laurence Long | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2016-06-27 |
| 1225155237 | Charles A Long | Social Worker | 152 Highway 7 S, Oxford, MS 38655-5392 | 2007-03-23 |
| 1063442028 | Charles Long | Pediatrics | 1205 Marion Ave, Tallahassee, FL 32303-6513 | 2006-07-04 |
| 1316975949 | Charles Long | Chiropractor | 2243 S Meridian Ave, Suite 101, Wichita, KS 67213-1911 | 2006-06-30 |
| 1285678441 | Charles A Long | Physical Therapist | 11 N Main St, Gwinner, ND 58040-4001 | 2006-06-16 |
| 1770527103 | Charles Robert Long | Radiology | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2006-06-15 |
| 1033164736 | Charles David Long | Plastic Surgery | 1250 Greenwood Ave, Ste 14, Jenkintown, PA 19046-2902 | 2006-05-23 |
| Street Address |
5480 BALTIMORE DR SUITE 202 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295270080 | Heather Lynn Gibson | Marriage & Family Therapist | 5480 Baltimore Dr, Suite 250, La Mesa, CA 91942-2020 | 2017-01-03 |
| 1356895981 | Sunset Psychology, Inc | Psychologist | 5480 Baltimore Dr, Suite 250, La Mesa, CA 91942-2020 | 2016-08-11 |
| 1467825125 | Kristin Nicole Herzberg Purdy | Psychologist | 5480 Baltimore Dr, #250, La Mesa, CA 91942-2020 | 2015-11-03 |
| 1144662131 | Charles A. Long, A Professional Marriage and Family Therapy Corporatio | Community/Behavioral Health | 5480 Baltimore Dr, Suite 202, La Mesa, CA 91942-2020 | 2013-07-19 |
| 1528102175 | Carol Simpson Dawidowicz | Marriage & Family Therapist | 5480 Baltimore Dr, Suite #250, La Mesa, CA 91942-2020 | 2007-02-16 |
| 1831264712 | Masako Yajima Stewart | Counselor | 5480 Baltimore Dr, 250, La Mesa, CA 91942-2020 | 2006-11-23 |
| 1083791271 | Jan Slack | Marriage & Family Therapist | 5480 Baltimore Dr, Ste. 202, La Mesa, CA 91942-2020 | 2006-11-01 |
| 1679655369 | Gary D Hittle, Ph.d., A Marriage and Family Counseling Corporation | Marriage & Family Therapist | 5480 Baltimore Dr, Suite 202, La Mesa, CA 91942-2020 | 2006-10-20 |
| 1568550234 | Karen Ann Cross | Psychologist | 5480 Baltimore Dr, Suite 103, La Mesa, CA 91942-2020 | 2006-10-10 |
| 1215032362 | Marsha Lane Strieker | Marriage & Family Therapist | 5480 Baltimore Dr, Suite 211, La Mesa, CA 91942-2020 | 2006-09-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| Find all providers in zip 91942 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598377681 | Jerome Hoffman | Marriage & Family Therapist | 10521 Grandview Dr, La Mesa, CA 91941-6958 | 2020-08-19 |
| 1427603976 | Bienestar Child and Family Therapy, Inc. | Marriage & Family Therapist | 7317 El Cajon Blvd # 230, La Mesa, CA 91942-7434 | 2019-08-01 |
| 1447771548 | Matthew Steven Evans | Marriage & Family Therapist | 10961 Rapatee Ct, La Mesa, CA 91941-7254 | 2017-06-29 |
| 1548701188 | Dena West Colgate | Marriage & Family Therapist | 3421 Trophy Dr, La Mesa, CA 91941-8036 | 2017-03-15 |
| 1255786208 | Thuy-linh Pham | Marriage & Family Therapist | 5480 Baltimore Dr Ste 106&250, La Mesa, CA 91942-2020 | 2016-04-27 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1558756585 | Karey Webber | Marriage & Family Therapist | 5520 Wellesley St Ste 110, La Mesa, CA 91942 | 2015-04-06 |
| 1902206063 | Rachel Llanes | Marriage & Family Therapist | 4849 Schuyler Avenue, La Mesa, CA 91941 | 2014-08-26 |
| 1285044230 | Taylor Dawn Stead | Marriage & Family Therapist | 5520 Wellesley St Ste 100, La Mesa, CA 91942-4401 | 2014-04-30 |
| 1659798395 | Maria A Rios | Marriage & Family Therapist | 6340 Southern Rd, La Mesa, CA 91942-3606 | 2014-03-19 |
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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.