Beverly Jean Long, PSY.D.
NPI 1306935804ActiveIndividual· Psychologist, Cognitive & Behavioral· Anoka, MN
Psychologist, Cognitive & Behavioral (PSY.D.) in Anoka, Minnesota, licensed in MN, with an NPI issued in October 2006. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1306935804 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | Oct 12, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Cognitive & Behavioral Primary | 103TB0200X | LP1680 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MN) |
|---|
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Other Psychologist, Cognitive & Behavioral providers in Anoka
- 1003879677
All Psychologist, Cognitive & Behavioral providers in Minnesota