Deirdre E. Logan, PHD
NPI 1689725889ActiveIndividual· Psychologist, Clinical Child & Adolescent· Boston, MA
Psychologist, Clinical Child & Adolescent (PHD) with Chmc Anesthesia Foundation Inc, practicing in Boston, Massachusetts. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1689725889 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Jan 15, 2007 |
| Last updated in NPPES | Sep 14, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Child & Adolescent Primary | 103TC2200X | 8161 | MA |
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 (MA) |
|---|
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Chmc Anesthesia Foundation IncBoston, MA · 126 clinicians
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