DR. DEIRDRE E LOGAN PHD
NPI 1689725889
Psychologist - Clinical Child & Adolescent in Boston, MA

Q: What is Deirdre Logan's NPI number?

The NPI number for Deirdre Logan is 1689725889. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Q: What is Deirdre 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 Deirdre Logan was last updated on September 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 15, 2007PECOS EnrolledAccepts Medicare Assignment

300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6694(617) 730-0199 Get Directions Write a Review

NPPES record last updated: September 14, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Deirdre E Logan Phd NPPES

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

DR. DEIRDRE E LOGAN PHD (NPI 1689725889) is an individual clinical child & adolescent provider in Boston, Massachusetts, licensed in Massachusetts (8161) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1689725889

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameDR. DEIRDRE E LOGANCredential: PHD

Location Address300 LONGWOOD AVEBoston, MA 02115-5724

Mailing Address333 Longwood Ave, Chb Pain Treatment Service, Suite 549Boston, MA 02115 · (617) 355-6694 · Fax (627) 730-0199

Phone(617) 355-6694

Fax(617) 730-0199

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJanuary 15, 2007

Last NPPES UpdateSeptember 14, 2007

✔ NPI 1689725889 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

License✔ Licensed in MA · 8161

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.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

Dr. Deirdre E Logan Phd 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 ID1153606595

PECOS Enrollment IDI20170327000521

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 Reassignment

Medicare enrollment records show Deirdre Logan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chmc Anesthesia Foundation Inc

Same address

Pediatric Anesthesiology

300 LONGWOOD AVE
Boston, MA 02115

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

NPI 1831268754 (617) 919-1340

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 Deirdre Logan's NPI number?

The NPI number for Deirdre Logan is 1689725889. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Deirdre Logan located?

Deirdre Logan practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6694.

What is Deirdre Logan's specialty?

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

Is Deirdre Logan enrolled in Medicare?

Yes. Deirdre Logan 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 organization bills Medicare for Deirdre Logan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deirdre Logan reassigns Medicare benefits to Chmc Anesthesia Foundation Inc (Boston, MA). The 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 Deirdre Logan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deirdre Logan accept?

Health plans from Anthem Blue Cross and Blue Shield list Deirdre 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 Deirdre Logan was last updated on September 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.