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MICHAEL J. LOGAN MD, SC
NPI 1093017196
Clinic/Center - Mental Health (Including Community Mental Health Center) in Brookfield, WI

Active since November 22, 2010
16535 W BLUEMOUND RD STE 200, BROOKFIELD, WI 53005(262) 789-0909(262) 821-6180 Get Directions Write a Review

NPPES record last updated: November 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael J. Logan Md, Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL J. LOGAN MD, SC (NPI 1093017196) is a healthcare organization registered as a mental health (including community mental health center) in Brookfield, Wisconsin and active in the NPI registry since November 2010. The organization lists Michael Jeffrey Logan, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1093017196
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMICHAEL J. LOGAN MD, SC
Location Address16535 W BLUEMOUND RD STE 200Brookfield, WI 53005-5906
Mailing Address15065 Westover RdElm Grove, WI 53122-1541 · (262) 786-1710
Phone(262) 789-0909
Fax(262) 821-6180
Organization SubpartNo
Authorized OfficialMichael Jeffrey LoganOwner/president · (262) 786-1710
Enumeration DateNovember 22, 2010
✔ NPI 1093017196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in WI · 16418-20
16535 W BLUEMOUND RD STE 200, Brookfield, WI 53005
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN000068456WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY MARIE PICHETTE LPC
Counselor (Professional)
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Waukesha County (262) 999-3495
NICOLE SZANIAWSKI RDN, CD
Dietitian, Registered
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Waukesha County (262) 789-1191
MS. PATRICIA MICHELLE CARRINGTON LPC
Counselor (Professional)
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Waukesha County (262) 999-3495
KIRSTEN THIEMKE PHD
Psychologist (Clinical)
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Waukesha County (262) 542-3255
ERICKA JOANNA SUROWANIEC LPC, CSAC, ICS
Counselor (Professional)
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Waukesha County (262) 999-3495
DR. RACHEL A. ROEGLIN PSY.D.
Psychologist (Clinical)
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Waukesha County (262) 789-1191
KRISTINA WILLMERING LPC
Counselor (Professional)
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Waukesha County (262) 542-3255
MADELINE BLISKE PHD
Psychologist (Clinical)
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Waukesha County (262) 789-1191

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael J. Logan MD, Sc's NPI number?

The NPI number for Michael J. Logan MD, Sc is 1093017196. It was assigned to this organization in the NPPES registry on November 22, 2010.

Where is Michael J. Logan MD, Sc located?

Michael J. Logan MD, Sc is located at 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005. The listed phone number is (262) 789-0909.

What is Michael J. Logan MD, Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Michael J. Logan MD, Sc was last updated on November 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.