Steven A Logsdon, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

22560 Issued in TX

Practice address

433 Kitty Hawk Rd
Ste 219
Universal City, TX 78148-3829

Phone

(210) 658-6410

Fax

(210) 531-7334

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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 Psychologist

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Health and Human Services Commission

  • Clinical Neuropsychologist
  • Harlingen, TX
  • NPI 1356414692
  Medicare reassignment NPD
• Health and Human Services Commission

  • Psychiatric Hospital
  • Big Spring, TX
  • NPI 1881600682
  NPD
• Alba Wellness Case Management LLC

  • Case Management Agency
  • Universal City, TX
  • NPI 1043877343
  NPD (past)
• Alba Wellness Incorporated

  • Professional Counselor
  • Universal City, TX
  • NPI 1891033577
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480032000000",
    "number": "1316026925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2607",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781481607",
            "telephone_number": "210-658-6410",
            "fax_number": "210-531-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 KITTY HAWK RD",
            "address_2": "STE 219",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483829",
            "telephone_number": "210-658-6410",
            "fax_number": "210-531-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGSDON",
        "first_name": "STEVEN",
        "middle_name": "A",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2016-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0976953-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE LICENSE",
            "identifier": "22560",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Leaver, PHD
• Alec Ledesma
• Leveled Up Therapy LLC
• Nicole Bashan Lewis
• Jessica Lloy-Hazlett
• Lone Star Sleep Solutions PLLC
• Yanneth Guadalupe Longoria, WHNP
• Candance Lopez, RBT
• Marisa Christina Lopez, PHARM.D.
• Kathleen Victoria Lovett

• Clinical Psychologist in Universal City, TX
• Providers in Universal City, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2016; 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.