KRISTIAN LOGAN (NPI# 1184953093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184953093 |
| Entity Type | Individual |
| Full Name | KRISTIAN LOGAN |
| Practice Address |
1965 Live Oak Blvd Yuba City CA 95992 |
| Practice Telephone | 5308227200 |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2009-12-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT 29481 | CA | Nursing Service Providers |
| Street Address |
1965 LIVE OAK BLVD |
| City | YUBA CITY |
| State | CA |
| Zip Code | 95992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609851757 | Charles William Maas | Psychiatry & Neurology | 1965 Live Oak Blvd, Sutter-yuba Mental Heath Youth Services, Yuba City, CA 95991 | 2005-12-13 |
| 1376157768 | Consuelo E Sandoval-esquivel | Counselor | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-09-02 |
| 1407460827 | Dan Reyes | Counselor | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-09-02 |
| 1225648553 | Jacob Charles Pupo | Counselor | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-08-02 |
| 1427666775 | Tamara Jordan | Counselor | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-07-22 |
| 1083230965 | Tiffany Madrigal | Counselor | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-06-17 |
| 1831714955 | Lisa Novak | Registered Nurse | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-06-15 |
| 1952923252 | Alexis Rickards | Counselor | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-05-11 |
| 1295356608 | Darsenio Carter | Counselor | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-04-27 |
| 1831710243 | Bassam Chafic Khalil | Counselor | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-04-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922277219 | Jo Ann Higgins | Licensed Practical Nurse | 1445 Veterans Memorial Circle Dr., Yuba City, CA 95992 | 2008-02-21 |
| 1083764765 | Margaret Sease Skiles | Plastic Surgery | Po Box 1374, Yuba City, CA 95992-1374 | 2007-01-12 |
| 1346464153 | Rose Littau | Marriage & Family Therapist | 1512 Starr Drive, Yuba City, CA 95992-2602 | 2007-04-12 |
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760818900 | Sharilyn Dawn Johnson | Licensed Psychiatric Technician | 1525 Plumas Ct Ste C, Yuba City, CA 95991-2971 | 2013-09-19 |
| 1992835300 | John Hemphill | Licensed Psychiatric Technician | 1965 Live Oak Bl., Yuba City, CA 95991 | 2007-03-06 |
| 1619516929 | Joann Cornelius | Licensed Psychiatric Technician | 1965 Live Oak Blvd Ste A, Yuba City, CA 95991-8850 | 2020-01-03 |
| 1427576099 | Courtney Rowland | Licensed Psychiatric Technician | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2017-09-05 |
| 1568814291 | Alicia Jean Spohr | Licensed Psychiatric Technician | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2016-07-06 |
| 1285014209 | Silky Sharma | Licensed Psychiatric Technician | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2015-06-04 |
| 1215320486 | Sandra Suarez | Licensed Psychiatric Technician | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2015-03-12 |
| 1023421476 | Lisa Owings | Licensed Psychiatric Technician | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2014-06-03 |
| 1295960490 | Audrey Carol Chittenden | Licensed Psychiatric Technician | 1965 Live Oak Blvd, Yuba City, CA 95991-8828 | 2009-05-18 |
| 1871738625 | Debra Ann Gore | Licensed Psychiatric Technician | 1965 Live Oak Blvd, Yuba City, CA 95991-8828 | 2008-12-09 |
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| 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.