DR. JADE LOGAN PH.D., ABPP
NPI 1548707573
Psychologist - Clinical in Philadelphia, PA

Q: What is Jade Logan's NPI number?

The NPI number for Jade Logan is 1548707573. It was assigned to this individual provider in the NPPES registry on January 29, 2017.

Q: What is Jade Logan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jade Logan was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 January 29, 2017PECOS Enrolled

255 S 17TH ST, SUITE 2704, PHILADELPHIA, PA 19103(267) 908-6363 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 9, 2017, Jan 29, 2017 (2 updates tracked since 2017).

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About Dr. Jade Logan Ph.d., Abpp NPPES

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

DR. JADE LOGAN PH.D., ABPP (NPI 1548707573) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS017234) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548707573

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JADE LOGANCredential: PH.D., ABPP

Location Address255 S 17TH ST, SUITE 2704Philadelphia, PA 19103-6231

Mailing Address8532 Temple RdPhiladelphia, PA 19150-1909 · (856) 524-8580

Phone(267) 908-6363

Sole ProprietorNo

Enumeration DateJanuary 29, 2017

Last NPPES UpdateFebruary 9, 20172 updates tracked since enumeration

✔ NPI 1548707573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in PA · PS017234

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.

255 S 17TH ST, Philadelphia, PA 19103

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jade Logan Ph.d., Abpp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$180.99 typical visit price

range $59.88 – $180.99

Typical copayment $45.24 (range $14.97 – $45.24)

Most-billed visit code 99205

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MONICA FAUBLE L.AC.

Acupuncturist

255 S 17TH ST, SUITE 1502
PHILADELPHIA, PA 19103

Philadelphia County (215) 500-2579

ALLISON MONACO

Marriage & Family Therapist

255 S 17TH ST
PHILADELPHIA, PA 19103

Philadelphia County (609) 535-3110

DR. EDWARD TINDAL MOON PSY D

Psychologist (Clinical)

255 S 17TH ST, SUITE 2301
PHILADELPHIA, PA 19103

Philadelphia County (610) 659-0774

DR. LISA SEUFERT M.D.

Psychiatry & Neurology (Psychiatry)

255 S 17TH ST, SUITE 2810
PHILADELPHIA, PA 19103

Philadelphia County (267) 882-6251

OCCUPATIONAL INDUSTRIAL HEALTH SERVICES

Internal Medicine (Sports Medicine)

255 S 17TH ST, SUITE 2001
PHILADELPHIA, PA 19103

Philadelphia County (215) 546-7049

ALGIRD R MAMENISKIS M.D., F.A.C.S.

Specialist

255 S 17TH ST, SUITE 2200
PHILADELPHIA, PA 19103

Philadelphia County (215) 732-3340

DR. JOSEPH DELVEY JR. PH.D.

Psychologist

255 S 17TH ST, SUITE 606
PHILADELPHIA, PA 19103

Philadelphia County (215) 545-7999

ELISABETTA AMBRON

Psychologist

255 S 17TH ST
PHILADELPHIA, PA 19103

Philadelphia County (484) 280-5561

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 Jade Logan's NPI number?

The NPI number for Jade Logan is 1548707573. It was assigned to this individual provider in the NPPES registry on January 29, 2017.

Where is Jade Logan located?

Jade Logan practices at 255 S 17th St Suite 2704, Philadelphia, PA 19103. The listed phone number is (267) 908-6363.

What is Jade Logan's specialty?

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

Is Jade Logan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jade Logan was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.