LONG INTEGRATED PSYCHIATRIC SERVICES LLC
LONG INTEGRATED PSYCHIATRIC SERVICES · Nurse Practitioner (Psych/Mental Health)

Address: 7652 Belair Rd Ste A, Baltimore, MD 21236-4067

LONG INTEGRATED PSYCHIATRIC SERVICES LLC (NPI# 1790366193) 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) 1790366193
Entity Type Organization
Organization Name LONG INTEGRATED PSYCHIATRIC SERVICES LLC
Other Organization Name LONG INTEGRATED PSYCHIATRIC SERVICES (Former Legal Business Name)
Practice Address 7652 Belair Rd Ste A
Baltimore
MD 21236-4067
Practice Telephone 4105080722
Mailing Address 7652 Belair Rd Ste A
Baltimore
MD 21236-4067
Certification Date 2021-04-21
Enumeration Date 2021-04-16
Last Update Date 2021-04-21
Authorized Official Telephone 4109273510
Authorized Official Credential CRNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
193200000X MULTI-SPECIALTY GROUP Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
Long Integrated Psychiatric Services Former Legal Business Name

Office Location

Street Address 7652 BELAIR RD STE A
City BALTIMORE
State MD
Zip Code 21236-4067

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477133395 Jami Townes Nurse Practitioner - Psych/Mental Health 6603 Copper Ridge Dr Apt T1, Baltimore, MD 21209-2148 2021-04-13
1760060636 Walter Lewis Toller IIi Nurse Practitioner - Psych/Mental Health 2439 E Lafayette Ave, Baltimore, MD 21213-2562 2021-03-31
1578141602 Candace Womack Nurse Practitioner - Psych/Mental Health 2727 W Garrison Ave, Baltimore, MD 21215-5332 2021-03-30
1487249025 Olayemi Tosin Ayilegbe Nurse Practitioner - Psych/Mental Health 400 E Patapsco Ave, Baltimore, MD 21225-1830 2021-03-05
1497347660 Mary Ranti Alabi Nurse Practitioner - Psych/Mental Health 3001 S Hanover Street, Baltimore, Md 21225, Baltimore, MD 21225-2122 2021-02-09
1083210447 Ashlee Joyce Crawford Nurse Practitioner - Psych/Mental Health 2 E Wells St Apt 356, Baltimore, MD 21230-4945 2020-12-09
1992308696 Marshall James Nurse Practitioner - Psych/Mental Health 601 N Eutaw St Apt 518, Baltimore, MD 21201-7410 2020-11-17
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Competitor

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City BALTIMORE
Zip Code 21236

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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.