Ryan Logan, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

085124-1 Issued in NY

Practice address

23 Tavern Way
Setauket, NY 11733-2856

Phone

(631) 678-8816

NPI assigned

Apr 2, 2012

Last updated

Apr 2, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Island Psychiatry PCGroup PAC ID 9032490610, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Island Psychiatry, P.C.

  • Clinical Psychologist
  • Port Jefferson Station, NY
  • NPI 1609249754
  Medicare reassignment Care Compare group NPD
• Shine Medical PC

  • Psychiatry Physician
  • New York, NY
  • NPI 1427783950
  NPD (past)

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1235495466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 TAVERN WAY",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332856",
            "telephone_number": "631-678-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 TAVERN WAY",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332856",
            "telephone_number": "631-678-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "085124-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Leon, M.D.
• Li Dental Care, PLLC
• Ally Danielle Liff
• Janet Lobiondo
• Megan Lochner, M.D.
• Long Island Digestive Disease Consultants, P.C. (Long Island Endoscopy Center)
• Long Island Optometry Care, PLLC
• Sirka Louca, LCSW-R
• Brian Ludwig
• Loren Deidre Lyons, WHNP-BC

• Social Worker in Setauket, NY
• Providers in Setauket, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.