DR. ANDREW DOUGLAS LOGUE (NPI# 1447241377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447241377 |
| Entity Type | Individual |
| Full Name | DR. ANDREW DOUGLAS LOGUE |
| Other Name | DR. ANDREW DOUGLAS LOGUE |
| Credential | M.D. |
| Practice Address |
20 Nassau St Suite 513 Princeton NJ 08542-4509 |
| Mailing Address |
159 Valley Rd Princeton NJ 08540-3442 |
| Practice Telephone | 6096839791 |
| Mailing Telephone | 6099211243 |
| Mailing Fax Number | 6099218408 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
MA49090 | NJ | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MA49090 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6150209 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659407583 | Andrew Ashley Logue | Physical Therapist | 26025 Lahser Rd, Southfield, MI 48033 | 2007-02-26 |
| Street Address |
20 NASSAU ST SUITE 513 |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08542-4509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427514157 | Helen Ann Rudinsky | Counselor | 20 Nassau St, Princeton, NJ 08542-4509 | 2019-02-19 |
| 1487189338 | Nicole Cirigliano | Community/Behavioral Health | 20 Nassau St, Suite 311, Princeton, NJ 08542-4509 | 2017-04-28 |
| 1881130888 | Archana Jain | Psychologist | 20 Nassau St, Princeton, NJ 08542-4509 | 2017-01-13 |
| 1780134635 | Michael Bonacci | Acupuncturist | 20 Nassau St, Suite 206, Princeton, NJ 08542-4509 | 2016-10-04 |
| 1831545797 | Ruth S. Mueller | Social Worker | 20 Nassau St, Suite 418, Princeton, NJ 08542-4509 | 2016-05-10 |
| 1730552910 | Ilona Harris | Psychologist | 20 Nassau St, Suite 246, Princeton, NJ 08542-4509 | 2015-11-10 |
| 1407263577 | Joseph Cooper | Psychologist | 20 Nassau St, 202, Princeton, NJ 08542-4509 | 2014-07-21 |
| 1083042808 | Hathi Blackman | Social Worker | 20 Nassau St, Suite 402, Princeton, NJ 08542-4509 | 2013-10-15 |
| 1114350881 | Rebecca Giagnacova | Psychologist | 20 Nassau St, Suite 246, Princeton, NJ 08542-4509 | 2013-08-16 |
| 1215288089 | Princeton Integral Endocrinology, LLC | Internal Medicine | 20 Nassau St, Suite 208, Princeton, NJ 08542-4509 | 2012-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811354822 | Brooke Sweet | Psychologist | 20 Nassau Street, Suite 409, Princeton, NJ 08542 | 2016-01-21 |
| 1598024523 | Libby Zinman Schwartz | Counselor | 43c Palmer Square West, Princeton, NJ 08542 | 2012-05-11 |
| 1164796132 | Beth W. Smith | Social Worker | 20 Nassau St Ste 234b, Princeton, NJ 08542 | 2012-03-08 |
| 1275801144 | Mary Ann Godefroy | Counselor | 17 Chestnut Street, Princeton, NJ 08542 | 2011-12-07 |
| 1639458607 | Pierina Thayer | Counselor | 40 Witherspoon Street, Princeton, NJ 08542 | 2011-08-09 |
| 1083906655 | Amy Elizabeth Bibb | Social Worker | 20 Nassau St Ste 111, Princeton, NJ 08542 | 2011-05-13 |
| 1043538184 | Princeton Premier Medicine, LLC | Internal Medicine | 281 Witherspoon Street, Suite 220, Princeton, NJ 08542 | 2010-05-13 |
| 1790944551 | Mercedes Kennedy | Psychologist | 195 Nassau Street Office #28, Princeton, NJ 08542 | 2008-06-06 |
| 1124152350 | Janet Beth Merkin Weistuch | Social Worker | 194 Nassau St, Princeton, NJ 08542 | 2007-03-16 |
| 1235281890 | Norman Martin Weistuch | Psychologist | 194 Nassau Street, Princeton, NJ 08542 | 2007-01-16 |
| Find all providers in zip 08542 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700101219 | Michael S. Chen | Psychiatry & Neurology | 707 Alexander Rd Ste 202, Princeton, NJ 08540-6331 | 2010-03-29 |
| 1083638084 | David Lynn Scasta | Psychiatry & Neurology | 115 Commons Way, Princeton, NJ 08540-1507 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396184016 | Leena Rajagopal | Psychiatry & Neurology | 1 Bridge Plz N Ste 275, Fort Lee, NJ 07024-7586 | 2013-06-15 |
| 1255684023 | Norman Chazin Md LLC | Psychiatry & Neurology | 199 New Rd Ste 61a, Linwood, NJ 08221-2029 | 2012-10-18 |
| 1518295369 | Nicholas A. Marchese, M.d.p.a. | Psychiatry & Neurology | 2002 New York Ave, Union City, NJ 07087-4431 | 2009-12-04 |
| 1164682266 | Edward H. Lowell | Psychiatry & Neurology | 1 Scenic Dr Unit 1404, Highlands, NJ 07732-1322 | 2008-06-11 |
| 1467634360 | Manfred Kanu Obi | Psychiatry & Neurology | 1235 Morris Ave Ste 1, Union, NJ 07083-3344 | 2007-12-03 |
| 1356549661 | Nicole Marie Dorio | Psychiatry & Neurology | Third and Federal Streets, New Jersey State Prison, Trenton, NJ 08625-0861 | 2007-07-08 |
| 1932240637 | Toni-lynne Calabrese | Psychiatry & Neurology | 1609 Stuyvesant Ave, West Trenton, NJ 08628 | 2007-02-08 |
| 1265588156 | Chester L. Trent | Psychiatry & Neurology | 12 Christopher Way, Suite 200, Eatontown, NJ 07724-3330 | 2007-01-25 |
| 1831241371 | Gary M Glass | Psychiatry & Neurology | 3137 Fire Road, Suite A, Egg Harbor Township, NJ 08234 | 2007-01-17 |
| 1255401402 | Elizabeth Ann Burns | Psychiatry & Neurology | 104 Independence Blvd, Sicklerville, NJ 08081-1039 | 2006-11-08 |
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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.