ELIZABETH ANNE LONG (PH.D.) – Clinical Neuropsychologist, NPI 1487058111

ELIZABETH ANNE LONG (PH.D.) is a healthcare provider. based in Kent, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 7215 (OH). The NPI Number for ELIZABETH ANNE LONG (PH.D.) is 1487058111

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH ANNE LONG (PH.D.)
NPI
1487058111
Phone
Not provided
Address
190 CURRIE HALL PKWY
Enumeration Date
8 October 2014
Last Update Date
10 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3306735812
Graduation Year
2012 (14 years ago)
PAC ID
9335461433
Group Practice PAC ID
5799748919
Professional Enrollment ID
I20141126001742
Address ID
OH442404312KE190XXPKWY400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

Provider Addresses for ELIZABETH ANNE LONG (PH.D.)

  • 190 CURRIE HALL PKWY

    KENT, OH 442404312

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141126001742IClinical PsychologistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96137Administration of psychological or neuropsychological test, each additional 30 minutes3613$0
96131Evaluation of psychological test, each additional hour2312$0
96136Administration of psychological or neuropsychological test, first 30 minutes1515$0
90791Psychiatric diagnostic evaluation1313$0
96130Evaluation of psychological test, first hour1212$0
View full utilization report →

Insurance plans in this area (ZIP 44240)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799748919View full group profile
NameSpecialtyState
Mental Health CounselorOH
Clinical PsychologistOH
Clinical Social WorkerOH
Clinical PsychologistOH
Clinical Social WorkerOH
Marriage And Family TherapistOH
Clinical Social WorkerOH
-OH
Mental Health CounselorOH
Clinical PsychologistOH

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Frequently asked questions

How do I look up ELIZABETH ANNE LONG (PH.D.) by NPI?
Use NPI 1487058111 when you need to reference ELIZABETH ANNE LONG (PH.D.) in forms, claims, or directories.
Is ELIZABETH ANNE LONG (PH.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does ELIZABETH ANNE LONG (PH.D.) work in?
You can think of ELIZABETH ANNE LONG (PH.D.) as practicing within Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Where is ELIZABETH ANNE LONG (PH.D.)'s primary listing?
We display Kent, Ohio because that is what the record indicates for ELIZABETH ANNE LONG (PH.D.).
How can I contact ELIZABETH ANNE LONG (PH.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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