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KATHLEEN M LOGAN M.D.
NPI 1699752089
Psychiatry & Neurology - Psychiatry in Jackson, WY

Active since December 27, 2005
555 E BROADWAY AVE STE 204, JACKSON, WY 83001(307) 739-4818(888) 329-5701 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2021, Sep 10, 2018, Sep 6, 2018 (3 updates tracked since 2018).

About Kathleen M Logan M.d. NPPES

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

KATHLEEN M LOGAN M.D. (NPI 1699752089) is an individual psychiatry provider in Jackson, Wyoming, licensed in Wyoming (11343A) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1699752089
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameKATHLEEN M LOGANCredential: M.D.
Location Address555 E BROADWAY AVE STE 204Jackson, WY 83001-8640
Mailing AddressPo Box 428Jackson, WY 83001-0428 · (307) 739-4818 · Fax (888) 329-5701
Phone(307) 739-4818
Fax(888) 329-5701
Sole ProprietorNo
Enumeration DateDecember 27, 2005
Last NPPES UpdateFebruary 10, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2021
✔ NPI 1699752089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in WY · 11343A✔ Licensed in MN · 25358
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
555 E BROADWAY AVE STE 204, Jackson, WY 83001
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Other Identifiers 1

Medicaid150491600WY

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFF DECKER LPC
Counselor (Mental Health)
555 E BROADWAY AVE STE 204
JACKSON, WY 83001
Teton County (307) 699-3077
DR. NILS CHARLES WESTFALL M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
555 E BROADWAY AVE STE 204
JACKSON, WY 83001
Teton County (307) 739-4818

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 Kathleen Logan's NPI number?

The NPI number for Kathleen Logan is 1699752089. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Kathleen Logan located?

Kathleen Logan practices at 555 E Broadway Ave Ste 204, Jackson, WY 83001. The listed phone number is (307) 739-4818.

What is Kathleen Logan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Kathleen Logan was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.