Active NPI
Logan Catron
- Behavior Technician
- Springfield, IL
National Provider Identifier
1780453613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 5221 South 6TH Street Frontage Road East
Springfield, IL 62703 - Phone
- (217) 292-1983
- NPI assigned
- Dec 20, 2023
- Last updated
- Dec 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
5221 South 6TH Street Frontage Road East
Springfield, IL 62703
Mailing address
5221 South 6TH Street Frontage Road East
Springfield, IL 62703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clover Solutions LLC | Current | Accepting new patients |
Locations
5221 6th Street Frontage Rd E
Springfield, IL 62703
Phone (217) 292-1983
Organizations & group practices 1
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.
-
- Behavior Analyst
- Springfield, IL
- NPI 1144814773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1780453613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5221 SOUTH 6TH STREET FRONTAGE ROAD EAST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "62703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5221 SOUTH 6TH STREET FRONTAGE ROAD EAST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "62703",
"telephone_number": "217-292-1983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATRON",
"first_name": "LOGAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-20",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.