LONG INTEGRATED PSYCHIATRIC SERVICES LLC
NPI 1790366193
Nurse Practitioner - Psychiatric/Mental Health in Middle River, MD

Active since April 16, 2021
11560 CROSSROADS CIR, MIDDLE RIVER, MD 21220(410) 508-0722 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 21, 2023, Apr 21, 2021, Apr 16, 2021 (3 updates tracked since 2021).

About Long Integrated Psychiatric Services Llc NPPES

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

LONG INTEGRATED PSYCHIATRIC SERVICES LLC (NPI 1790366193), doing business as Long Integrated Psychiatric Services, is a healthcare organization registered as a psychiatric/mental health in Middle River, Maryland and active in the NPI registry since April 2021. The organization lists Angela Long, Owner, as its authorized official.

NPPES Registry Identity

NPI1790366193
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLONG INTEGRATED PSYCHIATRIC SERVICES LLC
Location Address11560 CROSSROADS CIRMiddle River, MD 21220-2885
Mailing Address11560 Crossroads Cir Ste 102Middle River, MD 21220-2885
Organization SubpartNo
Authorized OfficialAngela LongOwner · (410) 508-0722
Enumeration DateApril 16, 2021
Last NPPES UpdateMarch 21, 20233 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
✔ NPI 1790366193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
11560 CROSSROADS CIR, Middle River, MD 21220

Other Names 1

Former Legal Business NameLong Integrated Psychiatric Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Long Integrated Psychiatric Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Long Integrated Psychiatric Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1720458706
11560 CROSSROADS CIR STE 102
Middle River, MD 21220
(410) 508-0722
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1720752173
5024 CAMPBELL BLVD STE H
Baltimore, MD 21236
(928) 041-0931
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1063777043
8614 OCEAN GTWY STE 4
Easton, MD 21601
(410) 690-8181
✔ PECOS✔ Accepts Medicare44 mi

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

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 Long Integrated Psychiatric Services LLC's NPI number?

The NPI number for Long Integrated Psychiatric Services LLC is 1790366193. It was assigned to this organization in the NPPES registry on April 16, 2021. The provider was formerly known as Long Integrated Psychiatric Services.

Where is Long Integrated Psychiatric Services LLC located?

Long Integrated Psychiatric Services LLC is located at 11560 Crossroads Cir, Middle River, MD 21220. The listed phone number is (410) 508-0722.

What is Long Integrated Psychiatric Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Long Integrated Psychiatric Services LLC enrolled in Medicare?

Yes. Long Integrated Psychiatric Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Long Integrated Psychiatric Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Long Integrated Psychiatric Services LLC. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Long Integrated Psychiatric Services LLC was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.