DR. ARLISS LOGAN (NPI# 1154550697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154550697 |
| Entity Type | Individual |
| Full Name | DR. ARLISS LOGAN |
| Credential | PSY.D. |
| Practice Address |
1843 R W Berends Dr Sw Wyoming MI 49519-4955 |
| Mailing Address |
29488 Woodward Ave # 204 Royal Oak MI 48073-0903 |
| Practice Telephone | 6167732908 |
| Practice Fax Number | 6165323046 |
| Mailing Telephone | 4084660318 |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2018-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | MI | Behavioral Health & Social Service Providers | |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 747 52nd St, Oakland, CA 946091809 | 5104283000 |
| Street Address |
1843 R W BERENDS DR SW |
| City | WYOMING |
| State | MI |
| Zip Code | 49519-4955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206391 | Elizabeth Pelletier | Social Worker | 1843 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2020-05-18 |
| 1093355968 | Yolanda Ivens | Counselor | 1843 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2020-01-08 |
| 1225586431 | Ineke Larie Wilkinson | Counselor | 1843 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2016-09-15 |
| 1679964928 | Vincent Depaul Morton IIi | Counselor | 1843 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2015-02-09 |
| 1437557857 | Jennifer Marie Vander Wilp | Counselor | 1843 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2014-12-17 |
| 1306267422 | Rachael Folkert | Counselor | 1843 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2013-12-16 |
| 1740613132 | Anne Parpas Counseling | Registered Nurse | 1843 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2013-08-21 |
| 1518309111 | Anne Marie Parpas | Counselor | 1843 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2013-07-24 |
| 1902109044 | Maari Angela Tally | Psychologist | 1843 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2010-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
| Find all providers in zip 49519 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487864831 | Conny M Raaymakers | Psychologist | 1428 44th St Sw, Suite E, Wyoming, MI 49509-7202 | 2007-05-23 |
| 1417923616 | David Jon Berghuis | Psychologist | 1551 Andover St Sw, Wyoming, MI 49509-5008 | 2006-02-27 |
| 1992179535 | Kelly Marie Spegel Russell | Psychologist | 1843 Rw Berends Dr Sw, Wyoming, MI 49519-4955 | 2015-11-19 |
| 1831417781 | Mary Lakner | Psychologist | 26357 Forest Blvd, #5, Wyoming, MN 55092-8353 | 2010-05-16 |
| 1922156405 | John Lloyd Clifton | Psychologist | 5200 Fairview Blvd, Wyoming, MN 55092 | 2007-01-08 |
| 1386652782 | Pine Rest Christian Mental Health Services | Psychologist | 2215 44th St Sw, Wyoming, MI 49519-6439 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1932700036 | Estela M Rivero | Psychologist | 2627 Oak Valley Dr Apt 205, Ann Arbor, MI 48103-7705 | 2020-11-04 |
| 1144829037 | Damon Moore | Psychologist | 15450 E Jefferson Ave Ste 180, Grosse Pointe Park, MI 48230-2031 | 2020-10-21 |
| 1073112355 | Sarah Nicole Kesler | Psychologist | 230 Collingwood St Ste 250, Ann Arbor, MI 48103-3845 | 2020-10-19 |
| 1518564947 | Margaret L Blevins | Psychologist | 21769 Meridian Rd, Grosse Ile, MI 48138-1453 | 2020-10-08 |
| 1770197717 | Susan J Goldberg | Psychologist | 442 Randolph St, Northville, MI 48167-1465 | 2020-09-08 |
| 1255944096 | Eric S. Samson | Psychologist | 2045 E West Maple Rd Ste D405, Commerce Township, MI 48390-3801 | 2020-08-30 |
| 1891308904 | Susan Gottlieb Phd LLC | Psychologist | 23800 Orchard Lake Rd Ste 104, Farmington Hills, MI 48336-2561 | 2020-08-28 |
| 1538784012 | Bethany S Gourley | Psychologist | 19855 Outer Dr Ste 300, Dearborn, MI 48124-2022 | 2020-06-10 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.