J.daane Logsdon (NPI# 1013124684, PAC ID# 2365426459) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1013124684 |
| PAC ID by PECOS | 2365426459 |
| Professional Enrollment ID | I20040616000496 |
| Full Name | J.daane Logsdon |
| Organization Legal Name | PROSPECT CT MEDICAL FOUNDATION, INC. |
| Address |
88 Grandview Ave Waterbury CT 06708-2509 |
| Phone Number | 2035737265 |
| Gender | F |
| Credential | MD |
| Graduation Year | 2001 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 7416244496 |
| Number of Group Practice Members | 261 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 64 Robbins St, Waterbury, CT 06708-2613 | 2035736263 | PROSPECT CT MEDICAL FOUNDATION, INC. |
| 88 Grandview Ave, Waterbury, CT 06708-2509 | 2035737265 | PROSPECT CT MEDICAL FOUNDATION, INC. |
| Organization Legal Name | PROSPECT CT MEDICAL FOUNDATION, INC. |
| Physicians | 222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eyone Jones | General Surgery | Prospect Ct Medical Foundation, Inc. | 18 Haynes St, Uppr Level, Manchester, CT 06040-4111 |
| Isaac Okyere Ampofo | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 629 Middle Tpke E, Manchester, CT 06040-3731 |
| Kelli A Harper | Family Medicine | Prospect Ct Medical Foundation, Inc. | 175 W Rd, Ellington, CT 06029-3730 |
| Marcy A Calsetta | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 520 Hartford Tpke, Suite M, Vernon, CT 06066-5044 |
| Michele P Barry | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 145 Union St, Vernon Rockville, CT 06066-3025 |
| Khadijat O Balogun | Gastroenterology | Prospect Ct Medical Foundation, Inc. | 353 Main St, Manchester, CT 06040-4145 |
| Juan Diego Holguin | General Surgery | Prospect Ct Medical Foundation, Inc. | 1625 Straits Tpke, Suite 200, Middlebury, CT 06762-1836 |
| Michael D Waddington | Neurology | Prospect Ct Medical Foundation, Inc. | 29 Haynes St, Suite D, Manchester, CT 06040-4139 |
| Wendy S Garvin | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 26 Shenipsh Lake Rd, Tolland, CT 06084-2332 |
| Charles A Mandelberg | Family Medicine | Prospect Ct Medical Foundation, Inc. | 28 Main St, East Hartford, CT 06118-3243 |
| Street Address |
88 GRANDVIEW AVE |
| City | WATERBURY |
| State | CT |
| Zip | 06708-2509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deon Johnson-allen | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 88 Grandview Ave, Waterbury, CT 06708-2509 |
| Ryan Daniel Doyle | Psychiatry | Prospect Ct Medical Foundation, Inc. | 88 Grandview Ave, Waterbury, CT 06708-2509 |
| Venugopal Thangada | Psychiatry | Prospect Ct Medical Foundation, Inc. | 88 Grandview Ave, Waterbury, CT 06708-2509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette A Burton | Qualified Audiologist | Easter Seal Rehabilitation Center | 22 Tompkins St, Waterbury, CT 06708-1459 |
| Allison Phipps | Qualified Audiologist | Easter Seal Rehabilitation Center | 22 Tompkins St, Waterbury, CT 06708-1459 |
| Kay Yanagisawa | Audiologist | Easter Seal Rehabilitation Center | 22 Tompkins St, Waterbury, CT 06708-1459 |
| John Peirce Byram | Audiologist | Easter Seal Rehabilitation Center | 22 Tompkins St, Waterbury, CT 06708-1459 |
| Trudy Tamara Pearson | Clinical Social Worker | Sunrise Psychological Services LLC | 177 Whitewood Rd, Waterbury, CT 06708-1545 |
| Brittney R Jackson | Clinical Social Worker | Step Up Care PC LLC | 177 Whitewood Rd, Waterbury, CT 06708-1545 |
| Sarah J Jacob | Clinical Social Worker | Sunrise Psychological Services LLC | 177 Whitewood Rd, Waterbury, CT 06708-1545 |
| Christine Leah Shapter | Psychiatry | Sunrise Psychological Services LLC | 177 Whitewood Rd, Waterbury, CT 06708-1545 |
| Kimberly A Gagnon | Clinical Social Worker | Sunrise Psychological Services LLC | 177 Whitewood Rd, Waterbury, CT 06708-1545 |
| Jaclyn M Sylvia | Physician Assistant | Westwood Ear, Nose and Throat, P.C. | 60 Westwood Ave, Waterbury, CT 06708-2460 |
| Find all physicians in zip 06708 | |||
| City | WATERBURY |
| Zip Code | 06708 |
| Specialty | PSYCHIATRY |
| City + Specialty | WATERBURY + PSYCHIATRY |
Please comment or provide details below to improve the information on J.daane Logsdon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.