Active NPI
Darnell T Logan, ED.D.
- School Psychologist
- Atlanta, GA
National Provider Identifier
1073218715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 615622
- Practice address
- 3340 Peachtree Rd NE Ste 1800
Atlanta, GA 30326-1064 - Phone
- (404) 410-0224
- NPI assigned
- Apr 3, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 615622 | GA | Primary |
Addresses
Primary practice location
3340 Peachtree Rd NE Ste 1800
Atlanta, GA 30326-1064
Mailing address
2870 Peachtree Rd NW Ste 243
Atlanta, GA 30305-2918
Phone (404) 410-0224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 615622 | GA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Psychoeducational Services | School | Current | Accepting new patients |
Locations
2870 Peachtree Rd NW
Atlanta, GA 30305
Phone (404) 410-0224
3340 Peachtree Rd NE
Ste 1800
Atlanta, GA 30326
Phone (404) 812-5396
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1073218715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2870 PEACHTREE RD NW STE 243",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303052918",
"telephone_number": "404-410-0224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 PEACHTREE RD NE STE 1800",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303261064",
"telephone_number": "404-410-0224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "DARNELL",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-03",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "GA",
"license": "615622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.