AJASHA MAXINE LONG PHD
NPI 1609495282
Psychologist in Jacksonville, FL

Active since April 13, 2020PECOS Enrolled
14540 OLD SAINT AUGUSTINE RD STE 2591, JACKSONVILLE, FL 32258(904) 376-3800(904) 390-7405 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2024, Nov 3, 2023, Jan 17, 2023 and 1 more (4 updates tracked since 2020).

About Ajasha Maxine Long Phd NPPES

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

AJASHA MAXINE LONG PHD (NPI 1609495282) is an individual psychologist in Jacksonville, Florida, licensed in Florida (PY12271) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609495282
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameAJASHA MAXINE LONGCredential: PHD
Location Address14540 OLD SAINT AUGUSTINE RD STE 2591Jacksonville, FL 32258-7420
Mailing Address2500 Metrohealth DrCleveland, OH 44109-1900 · (314) 780-8699
Fax(904) 390-7405
Sole ProprietorNo
Enumeration DateApril 13, 2020
Last NPPES UpdateJune 3, 20244 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
NPI 1609495282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY12271
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License P.08309 (OH)
14540 OLD SAINT AUGUSTINE RD STE 2591, Jacksonville, FL 32258

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 (PECOS)

Ajasha Maxine Long Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Counselor (Mental Health)
14540 OLD SAINT AUGUSTINE RD STE 2591
JACKSONVILLE, FL 32258
Social Worker (Clinical)
14540 OLD SAINT AUGUSTINE RD STE 2591
JACKSONVILLE, FL 32258
Psychiatry & Neurology (Psychiatry)
14540 OLD SAINT AUGUSTINE RD STE 2591
JACKSONVILLE, FL 32258
Nurse Practitioner (Psychiatric/Mental Health)
14540 OLD SAINT AUGUSTINE RD STE 2591
JACKSONVILLE, FL 32258
Marriage & Family Therapist
14540 OLD SAINT AUGUSTINE RD STE 2591
JACKSONVILLE, FL 32258
Social Worker (Clinical)
14540 OLD SAINT AUGUSTINE RD STE 2591
JACKSONVILLE, FL 32258
Psychiatry & Neurology (Psychiatry)
14540 OLD SAINT AUGUSTINE RD STE 2591
JACKSONVILLE, FL 32258

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 Ajasha Long's NPI number?

The NPI number for Ajasha Long is 1609495282. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Where is Ajasha Long located?

Ajasha Long practices at 14540 Old Saint Augustine Rd Ste 2591, Jacksonville, FL 32258. The listed phone number is (904) 376-3800.

What is Ajasha Long's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Ajasha Long enrolled in Medicare?

Yes. Ajasha Long is registered in the Medicare PECOS enrollment system.

What insurance does Ajasha Long accept?

Health plans from MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Ajasha Long as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ajasha Long was last updated on June 3, 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.