Tenderly Reay Logan, PPSC; LEP; APCC

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

3183 Issued in CA

Practice address

675 Clover Valley Rd
Upper Lake, CA 95485-9220

Phone

(707) 275-2338

NPI assigned

Sep 14, 2021

Last updated

Sep 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Upper Lake Unified School District

  • Local Education Agency (LEA)
  • Upper Lake, CA
  • NPI 1053050104
  NPD Authorized official
• Lake County Office of Education

  • Local Education Agency (LEA)
  • Upper Lake, CA
  • NPI 1649071127
  NPD

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1972273787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 CLOVER VALLEY RD",
            "city": "UPPER LAKE",
            "state": "CA",
            "postal_code": "954859220",
            "telephone_number": "707-275-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 CLOVER VALLEY RD",
            "city": "UPPER LAKE",
            "state": "CA",
            "postal_code": "954859220",
            "telephone_number": "707-275-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "TENDERLY",
        "middle_name": "REAY",
        "credential": "PPSC; LEP; APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "3183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tlogan@ulusd.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "675 Clover Valley Rd",
            "city": "Upper Lake",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954859220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Florence C. Irvine, M.D.
• Lake County Office of Education
• Lake County Office of Education
• Lake County Office of Education
• Lake County Office of Education
• Michaela Marrapese
• Milan L Hopkins, M.D., a Medical Corporation
• David Leroy Parsons, DO
• Mindy Pratt
• Virgina L Price, MH REHAB SPEC

• School Psychologist in Upper Lake, CA
• Providers in Upper Lake, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.