Logan Wilz, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5461 Issued in WI

Practice address

3150 Gershwin Dr
Green Bay, WI 54311-4328

Phone

(920) 391-6952

Fax

(920) 391-4811

NPI assigned

Sep 25, 2023

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 WI

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, 2025

Medicare assignment

May accept Medicare assignment

Group practices

County of BrownGroup PAC ID 1355435900, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• County of Brown

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Green Bay, WI
  • NPI 1942305065
  Medicare reassignment Care Compare group NPD
• County of Brown

  • Public Health or Welfare Agency
  • Green Bay, WI
  • NPI 1134322787
  NPD

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1598544116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2593 FAIRVIEW RD",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549569568",
            "telephone_number": "920-538-0122",
            "fax_number": "920-391-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 GERSHWIN DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114328",
            "telephone_number": "920-391-6952",
            "fax_number": "920-391-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILZ",
        "first_name": "LOGAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "5461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette L Wilson, DDS MD
• Danielle M Wilson, PT
• Lynn Wilson, FNP-BC
• Martha L Wilson, PT
• Laura A Wilz, RN
• Lynn Marie Winans, P.T.A.
• Madeline Winans
• Kimberly A Winburn, MD
• Brooke Winch, RD, CD
• Richard Windsor, MD

• Clinical Psychologist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.