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

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: August 09, 2026.

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, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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
MISS LAUREN ASHLEY MASTERSON 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.

What insurance does Deirdre Logan accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan 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 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.