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DR. BEVERLY JEAN LONG PSY.D.
NPI 1306935804
Psychologist - Cognitive & Behavioral in Anoka, MN

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
3301 7TH AVE, ANOKA, MN 55303(763) 712-4060(763) 712-4030 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Beverly Jean Long Psy.d. NPPES

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

DR. BEVERLY JEAN LONG PSY.D. (NPI 1306935804) is an individual cognitive & behavioral provider in Anoka, Minnesota, licensed in Minnesota (LP1680) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1306935804
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameDR. BEVERLY JEAN LONGCredential: PSY.D.
Location Address3301 7TH AVEAnoka, MN 55303-4516
Mailing Address546 Winona St ESaint Paul, MN 55107-2425 · (651) 253-8438
Phone(763) 712-4060
Fax(763) 712-4030
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306935804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in MN · LP1680
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
3301 7TH AVE, Anoka, MN 55303
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Beverly Jean Long Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739271842
PECOS Enrollment IDI20070822000060
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Beverly Long reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Express Care
5.6 mi
Sleep Medicine
10000 ZANE AVE N, STE 202
Brooklyn Park, MN 55443
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1780973610 (763) 528-6970
Beverly Long, Psy.D., L.P., LLC
24 mi
Community/Behavioral Health
546 WINONA ST E
Saint Paul, MN 55107
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Beverly Long Psyd LP LLC
NPI 1417147372 (651) 253-8438

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

KAITLIN BURKE LICSW
Social Worker (Clinical)
3301 7TH AVE
ANOKA, MN 55303
Anoka County (763) 639-7474
HARON NYAKUNDI MANWA
Nurse Practitioner (Psychiatric/Mental Health)
3301 7TH AVE
ANOKA, MN 55303
Anoka County (651) 431-5000
ERIN AUSMAN PH.D., LP
Psychologist (Clinical)
3301 7TH AVE
ANOKA, MN 55303
Anoka County (651) 431-5113
LAURA MARIE SCHULLER APRN, FNP
Nurse Practitioner (Family)
3301 7TH AVE
ANOKA, MN 55303
Anoka County (651) 431-5000
DR. THOMAS ARNO WITTKOPP M.D.
Psychiatry & Neurology (Psychiatry)
3301 7TH AVE
ANOKA, MN 55303
Anoka County (651) 431-5000
DR. GRETA N. MINOR PHD, LP
Clinical Neuropsychologist
3301 7TH AVE
ANOKA, MN 55303
Anoka County (651) 431-5000
DR. BROOKE MARIE BEEHLER D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3301 7TH AVE
ANOKA, MN 55303
Anoka County (651) 431-5006
HELLEN J BOIT APRN, DNP
Nurse Practitioner (Family)
3301 7TH AVE
ANOKA, MN 55303
Anoka County (651) 431-5000

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 Beverly Long's NPI number?

The NPI number for Beverly Long is 1306935804. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Beverly Long located?

Beverly Long practices at 3301 7th Ave, Anoka, MN 55303. The listed phone number is (763) 712-4060.

What is Beverly Long's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Beverly Long enrolled in Medicare?

Yes. Beverly Long is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Beverly Long's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Long reassigns Medicare benefits to 2 organizations: Fairview Express Care (Brooklyn Park, MN) and Beverly Long, Psy.D., L.P., LLC (Saint Paul, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Beverly Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Beverly Long was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.