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LOGSDON CONRADSEN, LLC
NPI 1174739155
Psychologist - Clinical in Roswell, GA

Active since May 15, 2007
515 E CROSSVILLE RD, SUITE 410, ROSWELL, GA 30075(770) 642-7155(770) 642-7158 Get Directions Write a Review

NPPES record last updated: July 23, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Logsdon Conradsen, Llc NPPES

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

LOGSDON CONRADSEN, LLC (NPI 1174739155) is a healthcare organization registered as a clinical in Roswell, Georgia and active in the NPI registry since May 2007. The organization lists Damond Logsdon-conradsen, President, as its authorized official.

NPPES Registry Identity

NPI1174739155
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLOGSDON CONRADSEN, LLC
Location Address515 E CROSSVILLE RD, SUITE 410Roswell, GA 30075-3087
Mailing Address515 E Crossville Rd, Suite 410Roswell, GA 30075-3087 · (770) 642-7155 · Fax (770) 642-7158
Phone(770) 642-7155
Fax(770) 642-7158
Organization SubpartNo
Authorized OfficialDamond Logsdon-conradsenPresident · (770) 642-7155
Enumeration DateMay 15, 2007
Last NPPES UpdateJuly 23, 2008
✔ NPI 1174739155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in GA · 2347
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 2347 (GA)
515 E CROSSVILLE RD, Roswell, GA 30075
Open in Google Maps ↗

Other Identifiers 1

Medicare PINGRP6499GA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Logsdon Conradsen, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Logsdon Conradsen, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Damond Logsdon-Conradsen, PHD
Clinical Psychologist
NPI 1457472359
515 E CROSSVILLE RD SUITE 420
Roswell, GA 30075
(770) 642-7155
✔ PECOSSame address

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

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 Logsdon Conradsen, LLC's NPI number?

The NPI number for Logsdon Conradsen, LLC is 1174739155. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Logsdon Conradsen, LLC located?

Logsdon Conradsen, LLC is located at 515 E Crossville Rd Suite 410, Roswell, GA 30075. The listed phone number is (770) 642-7155.

What is Logsdon Conradsen, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Logsdon Conradsen, LLC enrolled in Medicare?

Yes. Logsdon Conradsen, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Logsdon Conradsen, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Logsdon Conradsen, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Logsdon Conradsen, LLC was last updated on July 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.