Healthcare Provider Details

I. General information

NPI: 1134093644
Provider Name (Legal Business Name): DELONG PSYCHIATRIC SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 VERNON RD
BELMONT MA
02478-1012
US

IV. Provider business mailing address

45 VERNON RD
BELMONT MA
02478-1012
US

V. Phone/Fax

Practice location:
  • Phone: 617-826-9720
  • Fax:
Mailing address:
  • Phone: 617-826-9720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HANNAH R.L. DELONG
Title or Position: PSYCHIATRIC NURSE PRACTITIONER
Credential: APRN
Phone: 608-509-2760