Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelli Ros Long, PHD

Individual provider Health Service Psychologist · NPI 1306578000

Kelli Ros Long, PHD is a Clinical Psychologist in Greenville, North Carolina. Qualified in 2023, 3 years ago. Practices with East Carolina University, a 498-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2022
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

905 Johns Hopkins Dr
Greenville, NC 27834-2056
Phone: (252) 744-1406
Fax: (252) 744-2419
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6623 (NC)
Health Service Psychologist Taxonomy 103TH0100X · Licence 6623 (NC)

Record details

NPI number1306578000
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 30, 2022
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice East Carolina University — 498 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount