DR. ERIN E LONG PHD - NPI 1619758281 - Psychologist in Brookfield, WI

Q: What is Erin Long's NPI number?

The NPI number for Erin Long is 1619758281. It was assigned to this individual provider in the NPPES registry on October 10, 2023.

Q: What is Erin Long's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Erin Long was last updated on October 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Erin E Long Phd NPPES

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

DR. ERIN E LONG PHD (NPI 1619758281) is an individual clinical provider in Brookfield, Wisconsin, licensed in Wisconsin (5110-57) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619758281

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ERIN E LONGCredential: PHD

Location Address13800 W NORTH AVE STE 120Brookfield, WI 53005-4977

Mailing Address13800 W North Ave Ste 120Brookfield, WI 53005-4977 · (262) 432-6600 · Fax (262) 432-6604

Phone(262) 432-6600

Fax(262) 432-6604

Sole ProprietorNo

Enumeration DateOctober 10, 2023

Last NPPES UpdateOctober 11, 2023

NPPES CertifiedOctober 11, 2023

✔ NPI 1619758281 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 WI · 5110-57

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.

13800 W NORTH AVE STE 120, Brookfield, WI 53005

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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)

Dr. Erin E 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53005 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

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 6

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

DR. SAMANTHA EVERHART PH.D

Psychologist (Clinical Child & Adolescent)