DR. MARVIN LEROY LOGEL (NPI# 1447376348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447376348 |
| Entity Type | Individual |
| Full Name | DR. MARVIN LEROY LOGEL |
| Credential | PH.D. |
| Practice Address |
7300 Metro Blvd Suite 640 Edina MN 55439-2303 |
| Practice Telephone | 9529240146 |
| Practice Fax Number | 9529370925 |
| Mailing Telephone | 9529240146 |
| Mailing Fax Number | 9529370925 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2009-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | LP0569 | MN | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP0569 | MN | Behavioral Health & Social Service Providers |
| N | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
LP0569 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE-CROSS BLUE-SHIELD | 10076LO | 01 |
| Street Address |
7300 METRO BLVD SUITE 640 |
| City | EDINA |
| State | MN |
| Zip Code | 55439-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528040169 | Intrepid of Golden Valley Inc | Home Health | 7300 Metro Blvd, Suite 625, Edina, MN 55439-2303 | 2005-11-18 |
| 1215581418 | Jessica Mb Fredine | Hearing Instrument Specialist | 7300 Metro Blvd, Edina, MN 55439-2303 | 2019-07-26 |
| 1295979664 | Twin Cities Behavioral Health, PC | Clinic/Center | 7300 Metro Blvd, Suite 635, Edina, MN 55439-2303 | 2009-04-28 |
| 1043433576 | Susan M Parks | Dietitian, Registered | 7300 Metro Blvd, Suite 140, Edina, MN 55439-2303 | 2007-04-11 |
| 1013099191 | Evolving Woman Enterprises, Inc. | Social Worker | 7300 Metro Blvd, Suite 455, Edina, MN 55439-2328 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
| Find all providers in zip 55439 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760016109 | Cori Miller | Psychologist | 7300 Metro Blvd Ste 400, Edina, MN 55439-2307 | 2020-02-25 |
| 1073175592 | Skyler G. Shollenbarger | Psychologist | 7301 Ohms Ln Ste 450, Edina, MN 55439-2339 | 2019-07-04 |
| 1457748477 | Dr. Ellen Chazdon, Psy.d., L.p., LLC | Psychologist | 5200 Willson Rd Ste 490, Edina, MN 55424-1398 | 2015-04-16 |
| 1013306323 | Stephanie Peters | Psychologist | 5200 Willson Rd Ste 215, Edina, MN 55424-1316 | 2015-01-12 |
| 1154566057 | Stephen Plasch | Psychologist | 7400 Metro Blvd Ste 205, Edina, MN 55439-2316 | 2008-12-05 |
| 1497880009 | Gordon A Braatz | Psychologist | 6566 France Ave S, Ph1, Edina, MN 55435-1723 | 2007-02-22 |
| 1124164553 | John Nolen O'neil | Psychologist | 7101 York Ave S Ste 301, Edina, MN 55435-4469 | 2007-01-30 |
| 1790841773 | Meridee Rilen | Psychologist | 7401 Metro Blvd Ste 525, Edina, MN 55439-3059 | 2006-12-28 |
| 1689732851 | Ronald Joseph Wutchiett | Psychologist | 6950 France Ave. So., Suite 103, Edina, MN 55434 | 2006-12-04 |
| 1104911676 | Laraine Patricia Kurisko | Psychologist | 4005 West 65th Street, Suite 104, Edina, MN 55435 | 2006-10-03 |
| Find all providers in EDINA | ||||
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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.