Patricia Logan, PH.D
NPI 1083922603ActiveIndividual· Psychologist, Clinical· Jackson, MS
Psychologist, Clinical (PH.D) with Ut Lebonheur Pediatric Specialists, Inc., practicing in Jackson, Mississippi. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1083922603 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D |
| Sole proprietor | No |
| NPI issued | Sep 16, 2010 |
| Last updated in NPPES | Dec 23, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | T55974 | MS |
| Psychologist, Clinical | 103TC0700X | 6715 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (TN) |
|---|
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Ut Lebonheur Pediatric Specialists, Inc.Memphis, TN · 166 clinicians
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All 54 clinical psychologists in Jackson · All clinical psychologists in Mississippi