Damond J Logsdon, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

2347 Issued in GA

Practice address

515 E Crossville Rd
Suite 420
Roswell, GA 30075-3087

Phone

(770) 642-7155

Fax

(770) 642-7158

NPI assigned

Apr 2, 2007

Last updated

Jun 12, 2014By 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 GA

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, 1998

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Logsdon Conradsen, LLC

  • Clinical Psychologist
  • Roswell, GA
  • NPI 1174739155

  Clinical Neuropsychologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1457472359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 HEMBREE GROVE TRCE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761283",
            "telephone_number": "678-232-4990",
            "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 420",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753087",
            "telephone_number": "770-642-7155",
            "fax_number": "770-642-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGSDON",
        "first_name": "DAMOND",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "2347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Ranson Lloyd, DPT
• Dunia Giselle Lobo, LPC
• Allison Lockhart, M.M., MT-BC
• Natalie Logan, LD, RD, RN
• Logsdon Conradsen, LLC
• Shervin Victoria Loignon, DC
• Lindsey Long, M.ED.,CCC-SLP
• Ciela Lopez-Armstrong, MD
• Aliyah Chantel Lopez
• Krystle Lopez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.