Diane Logan, PHD, ABPP, CSAC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-1550 Issued in HI

Practice address

75-5665 Kuakini Hwy Ste 2
Kailua Kona, HI 96740-1689

Phone

(808) 437-7447

NPI assigned

Feb 10, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Diane Logan LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kailua Kona, HI
  • NPI 1265068233
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1003207259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5488",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967455488",
            "telephone_number": "808-785-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5665 KUAKINI HWY STE 2",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401689",
            "telephone_number": "808-437-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PHD, ABPP, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PY61224983",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "2055-19I",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "2055-19",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-1550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Little Opihi Lactation LLC
• Inna Litvin, OD
• Liy Liu
• Peter Joseph Locatelli, M.D.
• Ann Renee Lofland, LCSW
• Jennifer L Logigian, DMD, MPH
• Lokahi Health Center, Inc
• Joanne C Lombardi, MD
• Longs Drug Stores California Inc.
• Longs Drug Stores California LLC

• Clinical Psychologist in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.