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LOGAN KALETA PSYD, CIC
NPI 1104293109
Clinical Neuropsychologist in Fort Lauderdale, FL

Active since August 25, 2015PECOS EnrolledAccepts Medicare Assignment
5597 N DIXIE HWY, FORT LAUDERDALE, FL 33334(954) 958-4800 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 25, 2026, May 7, 2024, Jul 1, 2020 and 1 more (4 updates tracked since 2018).

About Logan Kaleta Psyd, Cic NPPES

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

LOGAN KALETA PSYD, CIC (NPI 1104293109) is an individual clinical neuropsychologist in Fort Lauderdale, Florida, licensed in Florida (PY10205) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1104293109
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameLOGAN KALETACredential: PSYD, CIC
Location Address5597 N DIXIE HWYFort Lauderdale, FL 33334
Mailing Address5597 N Dixie HwyOakland Park, FL 33334-3406 · (954) 958-4800
Phone(954) 958-4800
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 25, 2015
Last NPPES UpdateMarch 25, 20264 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1104293109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in FL · PY10205
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY10205 (FL)
5597 N DIXIE HWY, Fort Lauderdale, FL 33334
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Logan Kaleta Psyd, Cic is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406164508
PECOS Enrollment IDI20190212002118
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Logan Kaleta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Holy Cross Hospital Inc
1.0 mi
Internal Medicine
4725 N FEDERAL HIGHWAY, HCMG BILLING DEPARTMENT
Ft. Lauderdale, FL 33308
  • Reassigned Medicare billing, Florida enrollment
  • 393 clinicians in this Medicare group
NPI 1467401877 (954) 351-4702
The Emory Clinic Inc
580 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holy Cross Hospital

Acute Care Hospitals · Fort Lauderdale, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100073
Location4725 N Federal HwyFort Lauderdale, FL 33308 · Broward County
Emergency services

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.

ROSS WODICKA MD
Orthopaedic Surgery (Sports Medicine)
5597 N DIXIE HWY
OAKLAND PARK, FL 33334
Broward County (305) 342-4801
DR. KEVIN WANG M.D.
Orthopaedic Surgery
5597 N DIXIE HWY
OAKLAND PARK, FL 33334
Broward County (818) 917-1293
RAELYNN CHRISTINE THIELEN PA-C
Physician Assistant
5597 N DIXIE HWY
OAKLAND PARK, FL 33334
Broward County (954) 958-4800
CASEY FRANCIS DPT
Physical Therapist (Orthopedic)
5597 N DIXIE HWY
OAKLAND PARK, FL 33334
Broward County (954) 267-6390
SIERRA N HERBERT PA-C
Physician Assistant (Surgical)
5597 N DIXIE HWY
OAKLAND PARK, FL 33334
Broward County (954) 958-4800
KARA JAMES ATS
Student in an Organized Health Care Education/Training Program
5597 N DIXIE HWY
OAKLAND PARK, FL 33334
Broward County (954) 958-4833
TSUN YEE LAW MD, MBA
General Practice
5597 N DIXIE HWY
OAKLAND PARK, FL 33334
Broward County (954) 958-4800
DR. FERNANDO JACINTO MANALAC JR. M.D.
Internal Medicine (Sports Medicine)
5597 N DIXIE HWY, HOLY CROSS ORTHOPEDIC INSTITUTE 2ND FL
OAKLAND PARK, FL 33334
Broward County (954) 958-4800

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 Logan Kaleta's NPI number?

The NPI number for Logan Kaleta is 1104293109. It was assigned to this individual provider in the NPPES registry on August 25, 2015.

Where is Logan Kaleta located?

Logan Kaleta practices at 5597 N Dixie Hwy, Fort Lauderdale, FL 33334. The listed phone number is (954) 958-4800.

What is Logan Kaleta's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Logan Kaleta enrolled in Medicare?

Yes. Logan Kaleta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Logan Kaleta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Logan Kaleta reassigns Medicare benefits to 2 organizations: Holy Cross Hospital Inc (Ft. Lauderdale, FL) and The Emory Clinic Inc (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Logan Kaleta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Logan Kaleta accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Logan Kaleta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Logan Kaleta affiliated with any hospitals?

According to CMS data, Logan Kaleta is affiliated with Holy Cross Hospital.

When was this NPI record last updated?

The NPPES record for Logan Kaleta was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.