BETH ANN LOGAN PHD
NPI 1164831632
Psychologist - Clinical Child & Adolescent in Boston, MA

Q: What is Beth Logan's NPI number?

The NPI number for Beth Logan is 1164831632. It was assigned to this individual provider in the NPPES registry on August 8, 2014.

Q: What is Beth Logan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Beth Logan was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 08, 2014PECOS Enrolled

300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 14, 2022, Dec 22, 2020, Jan 23, 2017 (3 updates tracked since 2017).

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About Beth Ann Logan Phd NPPES

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

BETH ANN LOGAN PHD (NPI 1164831632) is an individual clinical child & adolescent provider in Boston, Massachusetts, licensed in Massachusetts (11765) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164831632

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameBETH ANN LOGANCredential: PHD

Location Address300 LONGWOOD AVEBoston, MA 02115-5724

Mailing Address300 Longwood AveBoston, MA 02115-5724 · (617) 355-6000

Phone(617) 355-6000

Sole ProprietorNo

Enumeration DateAugust 8, 2014

Last NPPES UpdateApril 14, 20223 updates tracked since enumeration

NPPES CertifiedApril 14, 2022

✔ NPI 1164831632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

Licenses✔ Licensed in MA · 11765✔ Licensed in RI · PS01916✔ Licensed in PA · PS017869

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

300 LONGWOOD AVE, Boston, MA 02115

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beth Ann Logan Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

Richmond Psychiatry Group Practice

Same address

Child & Adolescent Psychiatry

300 LONGWOOD AVE
Boston, MA 02115

Reassigned Medicare billing, Massachusetts enrollment
86 clinicians in this Medicare group

NPI 1629148036 (617) 355-4831

The Nemours Foundation

268 mi

Multi-Specialty

833 CHESTNUT ST STE 301
Philadelphia, PA 19107

Reassigned Medicare billing, Delaware enrollment
526 clinicians in this Medicare group

NPI 1902959653 (215) 955-5800

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

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.

JULIE ANN HANSEN LCSW

Social Worker (Clinical)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (857) 218-4309

MS. ANNA ROGLIERI

Nurse Practitioner (Psychiatric/Mental Health)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

STEPHEN G. FLYNN M.D.

Anesthesiology (Pediatric Anesthesiology)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

MRS. LAUREN ASHLEY SHARIS P.T., D.P.T

Physical Therapist

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-7216

MS. SOYUN KWAN LICSW

Social Worker (Clinical)

300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115

Suffolk County (617) 355-0567

PUJA BANKA M.D.

Pediatrics

300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115

Suffolk County (617) 355-6363

MR. COURTNEY SULLIVAN FRATTO CPNP

Nurse Practitioner (Pediatrics)

300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115

Suffolk County (857) 218-4085

DR. ELIZABETH S TAGLAUER M.D., PH.D.

Pediatrics (Neonatal-Perinatal Medicine)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

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 Beth Logan's NPI number?

The NPI number for Beth Logan is 1164831632. It was assigned to this individual provider in the NPPES registry on August 8, 2014.

Where is Beth Logan located?

Beth Logan practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.

What is Beth Logan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Beth Logan enrolled in Medicare?

Yes. Beth Logan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Beth Logan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beth Logan reassigns Medicare benefits to 2 organizations: Richmond Psychiatry Group Practice (Boston, MA) and The Nemours Foundation (Philadelphia, PA). 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 Beth Logan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Beth Logan accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Beth Logan 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.

When was this NPI record last updated?

The NPPES record for Beth Logan was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.