NANCY A LOGAN (NPI# 1114947579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114947579 |
| Entity Type | Individual |
| Full Name | NANCY A LOGAN |
| Credential | PHD |
| Practice Address |
24123 Boerne Stage Rd Suite 430 San Antonio TX 78235-9404 |
| Practice Telephone | 2106150555 |
| Practice Fax Number | 2106871100 |
| Mailing Telephone | 2106150555 |
| Mailing Fax Number | 2106871100 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2009-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 614 | NM | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 23696 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 00G66C | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629043278 | Nancy M Logan | Nurse Practitioner | 720 W Hill St, Louisville, KY 40208-2216 | 2006-02-17 |
| 1053443226 | Nancy Logan | Specialist | 750 Washington St, Nemc Box #7105, Boston, MA 02111-1526 | 2007-03-12 |
| 1386799021 | Nancy Logan | Counselor | 40 Lake Bellevue Dr, Suite 100, Bellevue, WA 98005-2479 | 2007-01-24 |
| 1043300890 | Nancy Logan | Physician Assistant | 325b King St, Northampton, MA 01060-2370 | 2006-10-13 |
| Street Address |
24123 BOERNE STAGE RD SUITE 430 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78235-9404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881052538 | Ortho Science Solutions, LLC | Prosthetic/Orthotic Supplier | 24123 Boerne Stage Rd, San Antonio, TX 78255-9403 | 2016-02-09 |
| 1992185714 | Pedia Pros Home Health, Inc. | Nursing Care | 24123 Boerne Stage Rd, Suite 207, San Antonio, TX 78255-9403 | 2015-06-06 |
| 1407004971 | Nancy A Logan, Phd. PC | Psychologist | 24123 Boerne Stage Rd, Suite 430, San Antonio, TX 78255-9403 | 2008-09-08 |
| 1043481195 | Susan Dean Odom | Psychologist | 24123 Boerne Stage Rd, Suite 430, San Antonio, TX 78255-9403 | 2008-03-17 |
| 1457403586 | Bryan Dee Jennings | Dentist | 24123 Boerne Stage Rd, Suite #104, San Antonio, TX 78255 | 2007-01-17 |
| 1285644435 | Michael S Barnes | Physical Therapist | 24123 Boerne Stage Rd, #109, San Antonio, TX 78255-9403 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679136212 | Clayton Stone | Student in an Organized Health Care Education/Training Program | 7615 Kennedy Cir, Bldg. 1, San Antonio, TX 78235 | 2019-04-18 |
| 1942763362 | Muhammad Omair Ahsan Ata | Student in an Organized Health Care Education/Training Program | 7615 Kennedy Hill Drive, San Antonio, TX 78235 | 2019-04-11 |
| 1225599707 | Kendra Johanna Le | Student in an Organized Health Care Education/Training Program | 7615 Kennedy Circle, Bldg. 1, San Antonio, TX 78235 | 2019-03-27 |
| 1326028713 | Thomas K O'neill | Urology | 3327 Research Plaza, Sute 403, San Antonio, TX 78235 | 2006-01-20 |
| 1215424577 | Teodora Isari | Nurse Practitioner | 3333 Research Plz, San Antonio, TX 78235 | 2018-04-21 |
| 1093259830 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 3124 Sidney Brooks St Ste 570b, San Antonio, TX 78235 | 2016-12-13 |
| 1740652106 | Michael Edward Cox | Nurse Practitioner | 3333 Research Plaza, San Antonio, TX 78235 | 2015-10-26 |
| 1912387473 | Patrick Malie | Emergency Medicine | 3333 Research Plz, San Antonio, TX 78235 | 2015-05-31 |
| 1912343096 | Douglas Russell | Urology | 3327 Research Plz Ste 403, San Antonio, TX 78235 | 2013-05-16 |
| 1669795506 | Vamsi K Surapaneni | Internal Medicine | 3333 Research Plaza, San Antonio, TX 78235 | 2010-03-07 |
| Find all providers in zip 78235 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896947 | Jessica Graber | Psychologist | 600 N Loop 1604 E, San Antonio, TX 78232-1268 | 2020-03-17 |
| 1497314991 | Martha Walch, Phd. | Psychologist | 6800 Park Ten Blvd., Suite 212 North, San Antonio, TX 78213 | 2019-06-08 |
| 1275099509 | South Texas Behavioral Group, LLC | Psychologist | 403 S Ww White Rd Ste 218, San Antonio, TX 78219-4249 | 2019-02-12 |
| 1629550298 | Rebecca Stuth Specia | Psychologist | 3031 Knight Robin Dr, San Antonio, TX 78209-3510 | 2018-08-30 |
| 1689179731 | Erica Rosentraub Shapiro | Psychologist | 1314 E. Sonterra Blvd. Ste. 2208, San Antonio, TX 78258 | 2018-03-29 |
| 1841791845 | Vanessa Tugonon Chan | Psychologist | 7403 Tom Kite Ct, San Antonio, TX 78244-1586 | 2018-02-24 |
| 1841790722 | I Am Mind & Body Wellness Center, Pllc | Psychologist | 901 Ne Loop 410 Ste 508, San Antonio, TX 78209-1306 | 2018-02-16 |
| 1194236760 | Offices of Michael A Roman Phd | Psychologist | 4242 Medical Dr Ste 6150, San Antonio, TX 78229-5369 | 2017-10-23 |
| 1548785918 | Elizabeth A Toth | Psychologist | 9926 Tezel Rd, San Antonio, TX 78254-5520 | 2017-08-07 |
| 1851813323 | Stephanie Triana, Ph.d. LLC | Psychologist | 1848 Lockhill Selma Rd Ste 102, San Antonio, TX 78213-1566 | 2017-07-16 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78235 |
Please comment or provide details below to improve the information on NANCY A 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.