Organization Active NPI

Dr Richard B Garver & Dr Nancy a Logan, PC

  • Clinical Psychologist
  • San Antonio, TX
National Provider Identifier
1578737193
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
23696 Issued in TX
Legal business name
DR RICHARD B GARVER & DR NANCY A LOGAN, PC
Practice address
24123 Boerne Stage Rd Ste 430
San Antonio, TX 78255-9409
Phone
(210) 615-0555
Fax
(210) 687-1100
NPI assigned
Apr 15, 2008
Last updated
Apr 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Authorized official

Name
Dr. Nancy A Logan, PH.D.NPI 1114947579
Title
Provider/General Manager
Phone
(210) 615-0555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 23696 TX Primary

Addresses

Primary practice location

24123 Boerne Stage Rd Ste 430
San Antonio, TX 78255-9409

Mailing address

24123 Boerne Stage Rd Ste 430
San Antonio, TX 78255-9409
Phone (210) 615-0555

National Provider Directory

National Provider Directory

Locations

24123 Boerne Stage Rd
Ste 430
San Antonio, TX 78255
Phone (210) 615-0555

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1578737193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24123 BOERNE STAGE RD STE 430",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782559409",
            "telephone_number": "210-615-0555",
            "fax_number": "210-687-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24123 BOERNE STAGE RD STE 430",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782559409",
            "telephone_number": "210-615-0555",
            "fax_number": "210-687-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RICHARD B GARVER & DR NANCY A LOGAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROVIDER/GENERAL MANAGER",
        "authorized_official_telephone_number": "210-615-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "23696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.