Logan Community Resources

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-19064 Issued in MI

Legal business name

LOGAN COMMUNITY RESOURCES

Practice address

2001 Niles Ave
Saint Joseph, MI 49085-1614

Phone

(269) 983-5833

NPI assigned

Jul 10, 2015

Last updated

Jul 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert McFarland

Title

Contract Specialist

Phone

(574) 289-4831

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ellen K Adler, BCBA

  • Behavior Analyst
  • Saint Joseph, MI
  • NPI 1194149799
  NPD (past)
• Jennifer Bassett, BCBA

  • Behavior Analyst
  • Benton Harbor, MI
  • NPI 1205282753
  NPD (past)
• Lindsey Marie Donovan, BCBA

  • Behavior Analyst
  • Portage, MI
  • NPI 1386983377
  NPD (past)
• Marsha Morey, BCBA

  • Behavior Analyst
  • Saint Joseph, MI
  • NPI 1780095299
  NPD (past)

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1245614130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 E JEFFERSON BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466152635",
            "telephone_number": "574-289-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 NILES AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851614",
            "telephone_number": "269-983-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN COMMUNITY RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "MCFARLAND",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CONTRACT SPECIALIST",
        "authorized_official_telephone_number": "574-289-4831",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-15-19064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-15-19064",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Linscheid, LMSW
• Luke William Linscheid, FNP-C
• Bo Liu, MD
• Allyssa Jaye Livovich
• Silviu Alexandru Locovei, MD
• Samuel Ernest Logan, M.D., PHD
• Joseph Longobardi, D.O.
• Danielle Lynn Lorenz, DO
• Chelsia Marie Love, CNM
• Keith Lovell, P.A.

• Behavior Analyst in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.