Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Ajasha Maxine Long , PhD

Psychologist β€’ Jacksonville, FL

Active NPI 1609495282 Individual Practitioner Female Practitioner
Practice location in NPPES

14540 Old Saint Augustine Rd Ste 2591
Jacksonville, FL 322587420

Call 9043763800 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

14540 Old Saint Augustine Rd Ste 2591

Jacksonville, FL 322587420

Telephone 9043763800
Fax 9043907405
Organization at the Same NPPES Address or Phone
Baptist Behavioral Health, Llc Facility NPI 1164155974

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Cleveland, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Dr. Long as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jacksonville and Florida

89 active clinicians are listed under Psychologist with a practice address in Jacksonville, FL (2,225 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

3.4% of these 89 clinicians have the CMS telehealth indicator.

11.2% of these 89 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-06-03
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES FL PY12271

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.

Psychologist - Counseling

NUCC Taxonomy Code: 103TC1900X

License # reported to NPPES OH P.08309

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

2500 Metrohealth Dr

Cleveland, OH 441091900

Phone: 2167787800

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

22 listed
Dr. Henry Benson , PhD

Psychologist - Clinical

NPI 1275931339

Doctor of Philosophy (Ph.D.)

Dr. John Byron , PsyD

Psychologist - Clinical

NPI 1023038072

Doctor of Psychology (Psy.D.)

Dr. Peter Clagnaz , MD

Psychiatry & Neurology - Psychiatry

NPI 1043256605

Doctor of Medicine (M.D.)

Dr. Jennifer Davis , DO

Psychiatry & Neurology - Psychiatry

NPI 1245640614

Doctor of Osteopathic Medicine (D.O.)

Rhiannon Doherty , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1295073542

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Philip Justice

Marriage & Family Therapist

NPI 1023611621

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location June 03, 2024

Registered at 14540 OLD SAINT AUGUSTINE RD STE 2591, JACKSONVILLE, FL 322587420 (Tel: 9043763800)

🏒
Secondary Practice Location Registered June 03, 2024

Additional practice office at 2500 Metrohealth Dr, Cleveland, OH 441091900

πŸ“
Updated Business Mailing Address November 03, 2023

Registered at 2500 METROHEALTH DR, CLEVELAND, OH 441091900 (Tel: 3147808699)

πŸ“
Updated Business Mailing Address January 17, 2023

Registered at 1600 EUCLID AVE APT 709, CLEVELAND, OH 441152151 (Tel: 3147808699)

πŸ‘€
Provider Name / Credentials Updated January 17, 2023

Recorded as AJASHA LONG, PHD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2023

Psychologist (license number reported to NPPES: OH P.08309)

βœ…
NPI Profile Active April 13, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 13, 2020

Registered at 2500 METROHEALTH DR, CLEVELAND, OH 441091900 (Tel: 2167788069)

πŸ“
Business Mailing Address (Initial Record) April 13, 2020

Registered at 405 S MORRISON RD APT 49, MUNCIE, IN 473044010 (Tel: 3147808699)

πŸ‘€
Provider Name / Credentials (Initial Record) April 13, 2020

Recorded as AJASHA LONG, M.S.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 13, 2020

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1609495282
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2020
Last Update: June 03, 2024
Sole Proprietor: No

Other Psychologists in Jacksonville

All Psychologists in Jacksonville

Mailing Address

2500 Metrohealth Dr

Cleveland, OH 441091900

Phone: 3147808699

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.