DR. KENNETH ALAN LOGAN (NPI# 1003013491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003013491 |
| Entity Type | Individual |
| Full Name | DR. KENNETH ALAN LOGAN |
| Credential | PSY.D. |
| Practice Address |
1891 E Roseville Pkwy Suite 100 Roseville CA 95661-7973 |
| Practice Telephone | 9167897082 |
| Practice Fax Number | 9167978840 |
| Mailing Telephone | 9167897082 |
| Mailing Fax Number | 9167978840 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY21249 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467406827 | Kenneth Owen Logan | Chiropractor | 24 Waleska St, Suite 100, Canton, GA 30114-2739 | 2006-05-20 |
| 1962407825 | Kenneth D Logan | Family Medicine | 15151 Little Ron Rd, Chico, CA 95973-9455 | 2005-06-16 |
| Street Address |
1891 E ROSEVILLE PKWY SUITE 100 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-7973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720011976 | Steve Mccready | Marriage & Family Therapist | 1891 E Roseville Pkwy, Suite 120, Roseville, CA 95661-7973 | 2006-07-09 |
| 1346840543 | Jessica Paige Harter | Psychologist | 1891 E Roseville Pkwy, Roseville, CA 95661-7973 | 2020-10-27 |
| 1437587615 | Kimberly Elizabeth Lanni | Clinical Neuropsychologist | 1891 E Roseville Pkwy, Suite 100, Roseville, CA 95661-7973 | 2013-10-24 |
| 1316294168 | Top Care Hospice, Inc. | Hospice Care, Community Based | 1891 E Roseville Pkwy, Suite 103c, Roseville, CA 95661-7973 | 2012-08-11 |
| 1598951469 | Thomas Roosevelt Mathews | Marriage & Family Therapist | 1891 E Roseville Pkwy, Suite #120, Roseville, CA 95661-7973 | 2007-09-24 |
| 1295931061 | Erin Marie Ambrose | Marriage & Family Therapist | 1891 E Roseville Pkwy, Suite 100, Roseville, CA 95661-7973 | 2007-06-26 |
| 1871707869 | Susan L. Cook | Marriage & Family Therapist | 1891 E Roseville Pkwy, Suite 100, Roseville, CA 95661-7974 | 2007-05-09 |
| 1063538254 | Kathi Jones-lorenz | Psychologist | 1891 E Roseville Pkwy, Suite 120, Roseville, CA 95661-7973 | 2007-03-21 |
| 1801926050 | Daniel Jorgensen | Marriage & Family Therapist | 1891 E Roseville Pkwy, Suite 140, Roseville, CA 95661-7973 | 2007-03-06 |
| 1578629390 | Kenneth Ray Philipp | Psychologist | 1891 E Roseville Pkwy, Ste 100, Roseville, CA 95661 | 2006-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205287885 | Layla Asamarai | Psychologist | 1611 County Road B W Ste 218, Roseville, MN 55113-4053 | 2016-06-25 |
| 1578939658 | Patricia L. Bach, Psyd, Inc., A Psychological Corporation | Psychologist | 300 Harding Blvd Ste 203k, Roseville, CA 95678-2474 | 2015-08-12 |
| 1760815229 | Tamarind P Knutson, LLC | Psychologist | 2579 Hamline Ave N Ste D, Roseville, MN 55113-3187 | 2013-08-19 |
| 1699021766 | Jazmine Mccoy | Psychologist | 8775 Sierra College Blvd Ste 250, Roseville, CA 95661-5986 | 2012-07-26 |
| 1437393287 | Kelly & Nguyen-kelly Psychological and Consulting Services, LLC | Psychologist | 1315 Larpenteur Ave W, Suite I, Roseville, MN 55113-6323 | 2009-04-23 |
| 1508087909 | Nicole Solomon | Psychologist | 1660 E Roseville Pkwy Ste 160, Roseville, CA 95661-3988 | 2007-05-01 |
| 1427273507 | Randy Allan Gilchrist I | Psychologist | 1899 E Roseville Pkwy Ste 100, Roseville, CA 95661-7980 | 2007-04-16 |
| 1033246137 | Heather Jane Forde | Psychologist | 970 Reserve Dr Ste 205, Roseville, CA 95678-1378 | 2007-02-27 |
| 1023159191 | Michael A. Molyn | Psychologist | Valley Psychological Center, 1891 E. Roseville Parkway, Suite 100, Roseville, CA 95661 | 2007-02-09 |
| 1427197540 | Travis H Owens | Psychologist | 1891 East Roseville Parkway, Suite 100, Roseville, CT 95661-7979 | 2007-02-05 |
| Find all providers in ROSEVILLE | ||||
Please comment or provide details below to improve the information on DR. KENNETH ALAN LOGAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.