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LONG INTEGRATED PSYCHIATRIC SERVICES LLC
NPI 1033878137
Nurse Practitioner - Psychiatric/Mental Health in Middle River, MD

Active since December 16, 2021
11560 CROSSROADS CIR STE 102, MIDDLE RIVER, MD 21220(410) 508-0722 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Long Integrated Psychiatric Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONG INTEGRATED PSYCHIATRIC SERVICES LLC (NPI 1033878137) is a healthcare organization registered as a psychiatric/mental health in Middle River, Maryland and active in the NPI registry since December 2021. The organization maintains 2 additional practice locations and lists Angela Desiree Long, Owner, as its authorized official.

NPPES Registry Identity

NPI1033878137
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLONG INTEGRATED PSYCHIATRIC SERVICES LLC
Location Address11560 CROSSROADS CIR STE 102Middle River, MD 21220-2885
Mailing Address7652 Belair Rd Ste ABaltimore, MD 21236-4067
Phone(410) 508-0722
Organization SubpartYes
Authorized OfficialAngela Desiree LongOwner · (410) 508-0722
Enumeration DateDecember 16, 2021
Last NPPES UpdateMay 30, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1033878137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
11560 CROSSROADS CIR STE 102, Middle River, MD 21220
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Secondary Practice Locations 2

Location 1260 Gateway Dr # 13-14ABel Air, MD 21014-4268 · Phone (410) 508-0722
Location 21101 N Point Blvd Ste 131Baltimore, MD 21224-3417 · Phone (410) 508-0722 · Fax (410) 834-1851

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAELEEN KENNEDY ANDERSON CRNP
Nurse Practitioner (Psychiatric/Mental Health)
11560 CROSSROADS CIR STE 102
MIDDLE RIVER, MD 21220
Baltimore County (410) 508-0722
AMANDA JOY BERGER PMNHP
Nurse Practitioner (Psychiatric/Mental Health)
11560 CROSSROADS CIR STE 102
MIDDLE RIVER, MD 21220
Baltimore County (410) 508-0722
STEVEN ROBERT BODE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
11560 CROSSROADS CIR STE 102
MIDDLE RIVER, MD 21220
Baltimore County (410) 508-0722
ANGELA DESIREE LONG FNP-BC, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
11560 CROSSROADS CIR STE 102
MIDDLE RIVER, MD 21220
Baltimore County (410) 508-0722
MRS. NATALIE LYN HOLLOBAUGH NP
Nurse Practitioner (Psychiatric/Mental Health)
11560 CROSSROADS CIR STE 102
MIDDLE RIVER, MD 21220
Baltimore County (410) 508-0722
PRINCESS CLAIRE RAVELAS
Nurse Practitioner (Psychiatric/Mental Health)
11560 CROSSROADS CIR STE 102
MIDDLE RIVER, MD 21220
Baltimore County (410) 508-0722
SAMANTHA LANASA RN
Registered Nurse
11560 CROSSROADS CIR STE 102
MIDDLE RIVER, MD 21220
Baltimore County (410) 508-0722

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Long Integrated Psychiatric Services LLC's NPI number?

The NPI number for Long Integrated Psychiatric Services LLC is 1033878137. It was assigned to this organization in the NPPES registry on December 16, 2021.

Where is Long Integrated Psychiatric Services LLC located?

Long Integrated Psychiatric Services LLC is located at 11560 Crossroads Cir Ste 102, Middle River, MD 21220. The listed phone number is (410) 508-0722.

What is Long Integrated Psychiatric Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Long Integrated Psychiatric Services LLC was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.