Marvin Leroy Logel, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP0569 Issued in MN

Practice address

5200 Willson Rd Ste 150
Edina, MN 55424-1300

Phone

(952) 221-7166

Fax

(952) 937-0925

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736640000000",
    "number": "1447376348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ALTARA AVE APT 519",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461465",
            "telephone_number": "952-221-7166",
            "fax_number": "952-937-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WILLSON RD STE 150",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241300",
            "telephone_number": "952-221-7166",
            "fax_number": "952-937-0925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4601 Ponce De Leon Blvd Ste 380",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331462134",
            "country_code": "US",
            "telephone_number": "952-221-7166",
            "fax_number": "952-937-0925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Altara Ave Apt 519",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331461465",
            "country_code": "US",
            "telephone_number": "952-221-7166",
            "fax_number": "952-937-0925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGEL",
        "first_name": "MARVIN",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP0569",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7902",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7902",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "FL",
            "license": "PY7902",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "MN",
            "license": "LP0569",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP0569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE-CROSS BLUE-SHIELD",
            "identifier": "10076LO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven D Lockman, MD
• Cynthia Tomara Lodermeier, APRN, CNP
• Todd Loechler, PT
• Nicole Elice Loeding, MD
• Eileen Shea Loesch, PT, DPT
• Katherine M Lokowich-Kohler, PA-C
• Looma
• Noemi De Jesus Lopez, MS, RDN, LD
• Lori Kinstad Psychotherapy LLC
• Carl J Losasso, MD

• Clinical Psychologist in Edina, MN
• Providers in Edina, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2025; 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.