DR. BEVERLY JEAN LONG PSY.D.
NPI 1306935804
Psychologist - Cognitive & Behavioral in Anoka, MN
NPI Status: Active since October 12, 2006
Contact Information
3301 7TH AVE
ANOKA, MN
ZIP 55303
Phone: (763) 712-4060
Fax: (763) 712-4030
- Individual
- Female
- Years of Experience 21
- Psychologist
- Cognitive & Behavioral
- Accepts Medicare Approved Payment
- PECOS Enrolled
About BEVERLY LONG
This page provides the complete NPI Profile along with additional information for Beverly Long, a provider established in Anoka, Minnesota with a medical specialization in Psychologist, focusing in cognitive & behavioral and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1306935804 assigned on October 2006. The practitioner's primary taxonomy code is 103TB0200X with license number LP1680 (MN). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1306935804
- Provider Name
- DR. BEVERLY JEAN LONG PSY.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3301 7TH AVE ANOKA, MN 55303
- Location Phone
- (763) 712-4060
- Location Fax
- (763) 712-4030
- Mailing Address
- 546 WINONA ST E SAINT PAUL, MN 55107
- Mailing Phone
- (651) 253-8438
- Medical School Name
- OTHER
- Graduation Year
- 2005
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-12-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Cognitive & Behavioral
- Taxonomy Code
- 103TB0200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LP1680
- License State
- MN
- Taxonomy Description
- A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Medicare Participation & PECOS Enrollment Status
Beverly Long is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Beverly Long is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9739271842
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20070822000060
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 0 | 6 | 9 | 3 | 5 | 8 | 0 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 0 | 6 | 18 | 3 | 10 | 8 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 0 + 6 + 1 + 8 + 3 + 1 + 0 + 8 + 0 + 24 = 56 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 56 = 4 | 4 |
The NPI number 1306935804 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1558368001 | DR. MATTHEW SPLETT PHARM.D. Individual | Pharmacist (Psychiatric) | 3301 7TH AVE ANOKA, MN 55303 (763) 712-4242 |
1457331282 | DR. NASREEN HUSSAIN M.D. Individual | Emergency Medicine | 3301 7TH AVE ANOKA, MN 55303 (651) 431-5000 |
1780690511 | MS. CHARLENE MARIE MOSCHKAU RN., CNP Individual | Nurse Practitioner (Adult Health) | 3301 7TH AVE ANOKA, MN 55303 (763) 712-4080 |
1740363639 | DR. JANICE DENA TANDLER M.D. Individual | Family Medicine | 3301 7TH AVE ANOKA, MN 55303 (763) 712-4000 |
1568531226 | PURISIMO D LUCAS M.D. Individual | Family Medicine | 3301 7TH AVE ANOKA, MN 55303 (763) 712-4499 |
1154491900 | DARELL MATTHEW SHAFFER M.D. Individual | Psychiatry & Neurology (Psychiatry) | 3301 7TH AVE ANOKA, MN 55303 (763) 712-4020 |
1710051891 | MICHAEL FRANCIS KOCH M.D. Individual | Psychiatry & Neurology (Psychiatry) | 3301 7TH AVE ANOKA, MN 55303 (763) 712-4000 |
1902971609 | VIRGINIA M MANDAC M.D. Individual | Family Medicine (Adult Medicine) | 3301 7TH AVE ANOKA, MN 55303 (763) 712-4000 |
1689741753 | EILEEN J. DUFFY M.D. Individual | Psychiatry & Neurology (Psychiatry) | 3301 7TH AVE ANOKA, MN 55303 (763) 712-4000 |
1437226503 | ADRIAN D DUFFY M.D. Individual | Psychiatry & Neurology (Psychiatry) | 3301 7TH AVE ANOKA, MN 55303 (763) 712-4000 |
1659432771 | KAY MCMAHEN CNS Individual | Clinical Nurse Specialist (Psychiatric/Mental Health) | 3301 7TH AVE ANOKA-METRO REGIONAL TREATMENT CENTER ANOKA, MN 55303 (651) 431-5000 |
1114168663 | DEBRA NAEGELE Individual | Clinical Nurse Specialist (Psychiatric/Mental Health, Adult) | 3301 7TH AVE ANOKA, MN 55303 (651) 431-5289 |
1619118908 | ANOKA METRO REGIONAL TREATMENT CENTER Organization | Psychiatric Hospital | 3301 7TH AVE ANOKA, MN 55303 (651) 431-5174 |
1356456990 | DR. KEVIN NEIL TURNQUIST M.D. Individual | Psychiatry & Neurology (Psychiatry) | 3301 7TH AVE ANOKA, MN 55303 (763) 712-4000 |
1336431949 | MRS. AMIE JO DIGATONO PHARM.D Individual | Pharmacist | 3301 7TH AVE ANOKA, MN 55303 (651) 431-5000 |
1346674918 | MR. DENNIS ALLEN JOHNSON PHARMACIST Individual | Pharmacist | 3301 7TH AVE ANOKA, MN 55303 (651) 431-5120 |
1144654716 | CARISA LYNN FINKE PHARMD Individual | Pharmacist | 3301 7TH AVE ANOKA, MN 55303 (651) 431-5123 |
1801240205 | ERNESTINE MAMBO Individual | Nurse Practitioner (Family) | 3301 7TH AVE ANOKA, MN 55303 (651) 431-5000 |
1801320817 | ANDREW ZWACK Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 3301 7TH AVE PHARMACY ANOKA, MN 55303 (651) 431-5120 |
1750819223 | SHELLY LYNN LETTMANN PHARMD Individual | Pharmacist (Psychiatric) | 3301 7TH AVE ANOKA, MN 55303 (651) 431-5122 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306935804, enumerated in the NPI registry as an "individual" on October 12, 2006
The provider is located at 3301 7th Ave Anoka, Mn 55303 and the phone number is (763) 712-4060
The provider's speciality is Psychologist with taxonomy code 103TB0200X with a focus in Cognitive & Behavioral
The provider has more than 21 years of experience.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on October 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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