ANNETTE LONG PHD
NPI 1467474742
Psychologist - Clinical in Pueblo, CO

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
924 INDIANA AVE, PUEBLO, CO 81004(719) 564-9039(719) 561-8752 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Annette Long Phd NPPES

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

ANNETTE LONG PHD (NPI 1467474742) is an individual clinical provider in Pueblo, Colorado, licensed in Colorado (676) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1467474742
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameANNETTE LONGCredential: PHD
Location Address924 INDIANA AVEPueblo, CO 81004-3747
Mailing Address924 Indiana AvePueblo, CO 81004-3747 · (719) 564-9039 · Fax (719) 561-8752
Fax(719) 561-8752
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1467474742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CO · 676
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.

924 INDIANA AVE, Pueblo, CO 81004

Other Identifiers 1

Medicare ID-Type UnspecifiedA1736

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Annette Long Phd 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 ID7719975689
PECOS Enrollment IDI20040501000223
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
164 services19 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$174.82 typical visit price
range $58.06 – $174.82
Typical copayment $43.70 (range $14.51 – $43.70)
Most-billed visit code 99205
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Social Worker
924 INDIANA AVE
PUEBLO, CO 81004
Counselor (Professional)
924 INDIANA AVE
PUEBLO, CO 81004
Counselor (Addiction (Substance Use Disorder))
924 INDIANA AVE
PUEBLO, CO 81004
Counselor (Professional)
924 INDIANA AVE
PUEBLO, CO 81004
Marriage & Family Therapist
924 INDIANA AVE
PUEBLO, CO 81004
Social Worker (Clinical)
924 INDIANA AVE
PUEBLO, CO 81004
Social Worker (Clinical)
924 INDIANA AVE
PUEBLO, CO 81004
Counselor (Professional)
924 INDIANA AVE
PUEBLO, CO 81004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467474742, enumerated as an "individual" on July 24, 2006.

The provider is located at 924 INDIANA AVE PUEBLO, CO 81004 and the phone number is (719) 564-9039.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.