NANCY A LOGAN PHD
NPI 1114947579
Psychologist in San Antonio, TX

Active since July 20, 2006Opted out of Medicare · through Jul 1, 2027
24123 BOERNE STAGE RD, SUITE 430, SAN ANTONIO, TX 78235(210) 615-0555(210) 687-1100 Get Directions Write a Review

NPPES record last updated: May 1, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nancy A Logan Phd NPPES

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

NANCY A LOGAN PHD (NPI 1114947579) is an individual psychologist in San Antonio, Texas, licensed in Texas (23696) and active in the NPI registry since July 2006. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114947579
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameNANCY A LOGANCredential: PHD
Location Address24123 BOERNE STAGE RD, SUITE 430San Antonio, TX 78235-9404
Mailing Address24123 Boerne Stage Rd, Suite 430San Antonio, TX 78235-9404 · (210) 615-0555 · Fax (210) 687-1100
Fax(210) 687-1100
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateMay 1, 2009
NPI 1114947579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in TX · 23696 Licensed in NM · 614
Definition
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.
24123 BOERNE STAGE RD, San Antonio, TX 78235

Other Identifiers 2

Other00G66CTX · Bcbs
Medicare PIN8C8454TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Nancy A Logan Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2017 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2017
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Nancy Logan's NPI number?

The NPI number for Nancy Logan is 1114947579. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Nancy Logan located?

Nancy Logan practices at 24123 Boerne Stage Rd Suite 430, San Antonio, TX 78235. The listed phone number is (210) 615-0555.

What is Nancy Logan's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Nancy Logan enrolled in Medicare?

No. Nancy Logan has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Nancy Logan was last updated on May 1, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.