DR. SALLY J LOGERQUIST PH.D.
NPI 1740311547
Psychologist in Glendale, AZ

Active since March 07, 2007Opted out of Medicare · through Oct 1, 2027
4602 W SWEETWATER AVE, GLENDALE, AZ 85304(602) 896-6513(602) 896-6520 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sally J Logerquist Ph.d. NPPES

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

DR. SALLY J LOGERQUIST PH.D. (NPI 1740311547) is an individual psychologist in Glendale, Arizona, licensed in Arizona (3412) and active in the NPI registry since March 2007. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1740311547
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SALLY J LOGERQUISTCredential: PH.D.
Location Address4602 W SWEETWATER AVEGlendale, AZ 85304-1505
Mailing AddressPo Box 4673Scottsdale, AZ 85261-4673 · (602) 896-6513 · Fax (602) 896-6520
Fax(602) 896-6520
Sole ProprietorYes
Enumeration DateMarch 7, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1740311547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in AZ · 3412
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4602 W SWEETWATER AVE, Glendale, AZ 85304

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Sally J Logerquist Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2013 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2013
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 13

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

Speech-Language Pathologist
4602 W SWEETWATER AVE
GLENDALE, AZ 85304
Speech-Language Pathologist
4602 W SWEETWATER AVE
GLENDALE, AZ 85304
Specialist/Technologist (Speech-Language Assistant)
4602 W SWEETWATER AVE
GLENDALE, AZ 85304
Registered Nurse (School)
4602 W SWEETWATER AVE
GLENDALE, AZ 85304
Occupational Therapy Assistant
4602 W SWEETWATER AVE
GLENDALE, AZ 85304
Registered Nurse (School)
4602 W SWEETWATER AVE
GLENDALE, AZ 85304
Speech-Language Pathologist
4602 W SWEETWATER AVE
GLENDALE, AZ 85304
Specialist/Technologist (Speech-Language Assistant)
4602 W SWEETWATER AVE
GLENDALE, AZ 85304

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 Sally Logerquist's NPI number?

The NPI number for Sally Logerquist is 1740311547. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Sally Logerquist located?

Sally Logerquist practices at 4602 W Sweetwater Ave, Glendale, AZ 85304. The listed phone number is (602) 896-6513.

What is Sally Logerquist's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Sally Logerquist enrolled in Medicare?

No. Sally Logerquist has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sally Logerquist was last updated on July 8, 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.