Individual provider Active NPI

Logan K. Wink, M.D.

  • Psychiatry Physician
  • Cincinnati, OH
National Provider Identifier
1477714830
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
39099507 Issued in OH
Practice address
4790 Red Bank Rd Ste 212
Cincinnati, OH 45227-1509
Phone
(513) 906-5476
Fax
(513) 283-0163
NPI assigned
Jun 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 52856 KY
Child & Adolescent Psychiatry Physician 2084P0804X 35.099507 OH
Psychiatry Physician 2084P0800X 39099507 OH Primary

Addresses

Primary practice location

4790 Red Bank Rd Ste 212
Cincinnati, OH 45227-1509

Mailing address

4790 Red Bank Rd Ste 212
Cincinnati, OH 45227-1509
Phone (513) 906-5476

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drwink@protonmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39099507OHMDPsychiatry Physician
52856KYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carey Services, Inc. Past Accepting new patients
Brightside Medical, P.C. Psychiatry Past Accepting new patients
Major Hospital Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1477714830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 RED BANK RD STE 212",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271509",
            "telephone_number": "513-906-5476",
            "fax_number": "513-283-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 RED BANK RD STE 212",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271509",
            "telephone_number": "513-906-5476",
            "fax_number": "513-283-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINK",
        "first_name": "LOGAN",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "52856",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35.099507",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "39099507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drwink@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant secure business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4790 Red Bank Rd Ste 212",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452271509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.