KELLY LOGAN (NPI# 1073137618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073137618 |
| Entity Type | Individual |
| Full Name | KELLY LOGAN |
| Practice Address |
1433 S Robertson Blvd Los Angeles CA 90035-3414 |
| Practice Telephone | 3107852121 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376592139 | Kelly J. Logan | Physical Medicine & Rehabilitation | 601 E 63rd St Ste 210, Kansas City, MO 64110-3303 | 2006-05-09 |
| 1417290396 | Kelly Apgar Logan | Psychiatry & Neurology | 3729 Teays Valley Rd Ste 100, Hurricane, WV 25526-9705 | 2013-03-29 |
| 1558625244 | Kelly Logan | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2012-06-27 |
| 1962655910 | Kelly A Logan | Counselor | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2008-11-03 |
| Street Address |
1433 S ROBERTSON BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90035-3414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013063478 | Emily Anne Bost-baxter | Psychiatry & Neurology | 1433 S Robertson Blvd, Los Angeles, CA 90035-3414 | 2007-01-26 |
| 1841804762 | Allyson Dewey | Rehabilitation Practitioner | 1433 S Robertson Blvd, Los Angeles, CA 90035-3414 | 2020-09-08 |
| 1366056814 | Natalia Magana | Student in an Organized Health Care Education/Training Program | 1433 S Robertson Blvd, Los Angeles, CA 90035-3414 | 2020-09-02 |
| 1689288235 | Alyx Schwarz | Student in an Organized Health Care Education/Training Program | 1433 S Robertson Blvd, Los Angeles, CA 90035-3414 | 2020-09-01 |
| 1265045520 | Vanessa Macias | Rehabilitation Practitioner | 1433 S Robertson Blvd, Los Angeles, CA 90035-3414 | 2020-08-26 |
| 1932710449 | Nichelle Taylor | Rehabilitation Practitioner | 1433 S Robertson Blvd, Los Angeles, CA 90035-3414 | 2020-08-10 |
| 1346873098 | Robert Rosulek | Counselor | 1433 S Robertson Blvd, Los Angeles, CA 90035-3414 | 2020-02-20 |
| 1922631621 | Jason Churchill | Marriage & Family Therapist | 1433 S Robertson Blvd, Los Angeles, CA 90035-3414 | 2020-02-20 |
| 1528691540 | Kimberly Hope Macarthur | Case Manager/Care Coordinator | 1433 S Robertson Blvd, Los Angeles, CA 90035-3414 | 2020-02-18 |
| 1760030423 | Paul Mckenna | Student in an Organized Health Care Education/Training Program | 1433 S Robertson Blvd, Los Angeles, CA 90035-3414 | 2019-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871122606 | Transformational Yoga, LLC | Chiropractor | 1649 Robertson Blvd, Los Angeles, CA 90035 | 2020-04-03 |
| 1962061945 | Alcott Center for Mental Health Services | Community/Behavioral Health | 1441-1443 S. Robertson Blvd., Los Angeles, CA 90035 | 2019-06-12 |
| 1124514773 | Bahareh Haykani | Physician Assistant | 1105 S La Peer Dr, Los Angeles, CA 90035 | 2018-07-06 |
| 1700303609 | Jisun Lee | Specialist/Technologist | 1080 S. La Cienega Blvd, #208, Los Angeles, CA 90035 | 2017-08-23 |
| 1407202393 | Elham Azarmiazam | Chiropractor | 1016 South Robertson Blvd., Los Angeles, CA 90035 | 2016-05-10 |
| 1548626369 | Esther Levy-bremer | Acupuncturist | 1411 S. Cardiff Ave., Ca 90035, Los Angeles, CA 90035 | 2016-01-08 |
| 1972992949 | Tali Shams | Pharmacist | 1108 South Lapeer Drive, Los Angeles, CA 90035 | 2015-01-14 |
| 1932598067 | Edwin Gromis | Orthopaedic Surgery | 1122 South Robertson Blvd., Los Angeles, CA 90035 | 2015-01-13 |
| 1437568250 | Edwin Gromis M.d. A Prof Corp | Orthopaedic Surgery | 1122 S. Robertson Blvd Suite 1, Los Angeles, CA 90035 | 2014-08-06 |
| 1073929725 | David Javdon | Dentist | 1125 S. Beverly Dr., Suite #400, Los Angeles, CA 90035 | 2014-07-02 |
| Find all providers in zip 90035 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506361 | Kathryn A Miller | Counselor | 1965 1/2 N Bronson Ave, Los Angeles, CA 90068-5601 | 2020-10-17 |
| 1669088464 | Bethel Los Angeles Community Development Corporation | Counselor | 7900 S Western Ave, Los Angeles, CA 90047-2715 | 2020-09-17 |
| 1346855244 | Sorenson Psychological and Assessment Services | Counselor | 12301 Wilshire Blvd Ste 413, Los Angeles, CA 90025-1051 | 2020-09-09 |
| 1841800190 | Daniela Sanchez | Counselor | 5081 Borland Rd, Los Angeles, CA 90032-3950 | 2020-08-02 |
| 1649888512 | David John Laing | Counselor | 3100 Riverside Dr Apt 220, Los Angeles, CA 90027-1481 | 2020-07-16 |
| 1366060659 | Amy H Kim | Counselor | 2152 Lemoyne St, Los Angeles, CA 90026-1950 | 2020-07-13 |
| 1083231435 | Leslie Gluck | Counselor | 11835 W Olympic Blvd Ste 815, Los Angeles, CA 90064-5056 | 2020-07-01 |
| 1104441112 | Barbara R Ponse | Counselor | 655 S Dunsmuir Ave Apt 201, Los Angeles, CA 90036-4087 | 2020-06-15 |
| 1033734264 | Shelley Baird Smith | Counselor | 265 S St Andrews Pl, Los Angeles, CA 90004-5029 | 2020-06-12 |
| 1801411566 | Tyler Grant Daly | Counselor | 4221 Wilshire Blvd # 290, Los Angeles, CA 90010-3512 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90035 |
Please comment or provide details below to improve the information on KELLY 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.