DR. BROOKE E LONG PSYD
NPI 1790428373
Psychologist in Chicago, IL

Active since April 20, 2022PECOS EnrolledAccepts Medicare Assignment
325 S PAULINA ST STE 200, CHICAGO, IL 60612(312) 942-8387 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Brooke E Long Psyd NPPES

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

DR. BROOKE E LONG PSYD (NPI 1790428373) is an individual psychologist in Chicago, Illinois and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1790428373
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. BROOKE E LONGCredential: PSYD
Location Address325 S PAULINA ST STE 200Chicago, IL 60612-3207
Mailing Address325 S Paulina St Ste 200Chicago, IL 60612-3207 · (312) 942-8387
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 20, 2022
NPPES CertifiedApril 20, 2022
✔ NPI 1790428373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
325 S PAULINA ST STE 200, Chicago, IL 60612

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brooke E Long Psyd 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 ID6608246947
PECOS Enrollment IDI20230103002265
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.

Medicare Billing Reassignment

Medicare enrollment records show Brooke Long reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diagnostic Radiology
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
325 S PAULINA ST STE 200
CHICAGO, IL 60612
Psychiatry & Neurology (Psychiatry)
325 S PAULINA ST STE 200
CHICAGO, IL 60612
Psychologist (Clinical)
325 S PAULINA ST STE 200
CHICAGO, IL 60612

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 Brooke Long's NPI number?

The NPI number for Brooke Long is 1790428373. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Where is Brooke Long located?

Brooke Long practices at 325 S Paulina St Ste 200, Chicago, IL 60612. The listed phone number is (312) 942-8387.

What is Brooke Long's specialty?

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

Is Brooke Long enrolled in Medicare?

Yes. Brooke Long is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brooke Long's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Long reassigns Medicare benefits to Rush University Medical Center (Chicago, IL). The 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 Brooke Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brooke Long was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.