DR. TONIA L LONG PH.D.
NPI 1396745329
Psychologist - Clinical in Collierville, TN

Active since August 01, 2005Opted out of Medicare · through Jan 1, 2028
1100 HALLE PARK CIRCLE, STE 101, COLLIERVILLE, TN 38017(901) 651-2879(901) 562-0379 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2020, Nov 12, 2015 (2 updates tracked since 2015).

About Dr. Tonia L Long Ph.d. NPPES

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

DR. TONIA L LONG PH.D. (NPI 1396745329) is an individual clinical provider in Collierville, Tennessee, licensed in Tennessee (P0000001774) and active in the NPI registry since August 2005. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1396745329
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TONIA L LONGCredential: PH.D.
Location Address1100 HALLE PARK CIRCLE, STE 101Collierville, TN 38017
Mailing Address1100 Halle Park Circle, Ste 101Collierville, TN 38017 · (901) 651-2879 · Fax (901) 562-0379
Fax(901) 562-0379
Sole ProprietorNo
Enumeration DateAugust 1, 2005
Last NPPES UpdateMarch 30, 20202 updates tracked since enumeration
NPPES CertifiedMarch 30, 2020
NPI 1396745329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in TN · P0000001774
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License P0000001774 (TN)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License P0000001774 (TN)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License P0000001774 (TN)
1100 HALLE PARK CIRCLE, Collierville, TN 38017

Other Identifiers 2

Other2047479TN · Cigna
Other4004785TN · Tn Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Tonia L Long Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2014 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2014
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Tonia Long's NPI number?

The NPI number for Tonia Long is 1396745329. It was assigned to this individual provider in the NPPES registry on August 1, 2005.

Where is Tonia Long located?

Tonia Long practices at 1100 Halle Park Circle Ste 101, Collierville, TN 38017. The listed phone number is (901) 651-2879.

What is Tonia Long's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Tonia Long enrolled in Medicare?

No. Tonia Long has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tonia Long was last updated on March 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.