Beth Logan, PHD
Beth Logan, PHD is a Clinical Child & Adolescent Psychologist in Boston, MA, registered under NPI 1164831632.
Getting there
The practice address on file is 300 LONGWOOD AVE, Boston, MA 02115. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 11765 | MA | Clinical Child & Adolescent Psychologist primary |
| PS01916 | RI | Clinical Child & Adolescent Psychologist |
| PS017869 | PA | Clinical Child & Adolescent Psychologist |
Licences are recorded in 3 states: MA, RI, PA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Clinical Psychologist
- PAC ID
- 9436371937
Enrolled in Medicare 4 times, across 4 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Delaware | I20141118002202 | Practitioner - Clinical Psychologist |
| Pennsylvania | I20150831002343 | Practitioner - Clinical Psychologist |
| Rhode Island | I20201224000434 | Practitioner - Clinical Psychologist |
| Massachusetts | I20220421002602 | Practitioner - Clinical Psychologist |
Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Psychologist. There are 4 separate enrolment records across 4 states (DE, PA, RI, MA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 3 states
This provider holds licences in 3 states: Massachusetts, Pennsylvania and Rhode Island. The practice address on file is in Boston, MA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 11765
- Specialty
- Clinical Child & Adolescent Psychologist
- Licence
- PS017869
- Specialty
- Clinical Child & Adolescent Psychologist
- Licence
- PS01916
- Specialty
- Clinical Child & Adolescent Psychologist
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Clinical Child & Adolescent covers
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. NUCC Health Care Provider Taxonomy, code 103TC2200X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 103TC2200X | Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | 11765 | MA | primary |
| 103TC2200X | Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | PS01916 | RI | |
| 103TC2200X | Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | — | DE | |
| 103TC2200X | Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | PS017869 | PA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1164831632 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 8, 2014 |
| Last updated | Apr 14, 2022 |
| Status | Active |
| Sole proprietor | No |
| Credential | PHD |
| Practice address |
300 LONGWOOD AVE Boston, MA 02115 (617) 355-6000 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 6 | 4 | 8 | 3 | 1 | 6 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 3 | 4 | 7 | 3 | 2 | 6 | 6 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.