Logsdon Conradsen, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2347 Issued in GA

Legal business name

LOGSDON CONRADSEN, LLC

Practice address

515 E Crossville Rd
Suite 410
Roswell, GA 30075-3087

Phone

(770) 642-7155

Fax

(770) 642-7158

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Damond Logsdon-Conradsen, PHD

Title

President

Phone

(770) 642-7155

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Damond J Logsdon, PHD

  • Clinical Neuropsychologist
  • Roswell, GA
  • NPI 1457472359
  Medicare reassignment NPD
• Andrew Ward, PH.D.

  • Psychologist
  • Roswell, GA
  • NPI 1902143381
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1174739155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E CROSSVILLE RD",
            "address_2": "SUITE 410",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753087",
            "telephone_number": "770-642-7155",
            "fax_number": "770-642-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E CROSSVILLE RD",
            "address_2": "SUITE 410",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753087",
            "telephone_number": "770-642-7155",
            "fax_number": "770-642-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGSDON CONRADSEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "LOGSDON-CONRADSEN",
        "authorized_official_first_name": "DAMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-642-7155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "2347",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "2347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Livingston-Hardy, MLSW
• Kelli Ranson Lloyd, DPT
• Dunia Giselle Lobo, LPC
• Allison Lockhart, M.M., MT-BC
• Natalie Logan, LD, RD, RN
• Damond J Logsdon, PHD
• Shervin Victoria Loignon, DC
• Lindsey Long, M.ED.,CCC-SLP
• Claudia Valentina Lopez Reyes, BCBA
• Ciela Lopez-Armstrong, MD

• Clinical Psychologist in Roswell, GA
• Providers in Roswell, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.