Organization provider

LOGSDON CONRADSEN, LLC

Clinical Psychologist Clinical Neuropsychologist Medicare enrolled

LOGSDON CONRADSEN, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1174739155, based in Roswell, GA. The organization lists 2 taxonomy classifications, with Clinical Psychologist recorded as primary.

Getting there

The practice address on file is 515 E CROSSVILLE RD SUITE 410, Roswell, GA 30075. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

515 E CROSSVILLE RD SUITE 410, Roswell, GA 30075 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2347 GA Clinical Psychologist primary
2347 GA Clinical Neuropsychologist

This provider holds licence 2347 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
4880673003
Enrollment ID
O20040720000232

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. 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.

What Clinical covers

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. NUCC Health Care Provider Taxonomy, code 103TC0700X
Behavioral Health & Social Service Providers Psychologist Clinical

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103TC0700X Clinical Psychologist Clinical 2347 GA primary
103G00000X Clinical Neuropsychologist 2347 GA

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-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1174739155 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMay 15, 2007
Last updatedJul 23, 2008
StatusActive
Practice address 515 E CROSSVILLE RD
SUITE 410
Roswell, GA 30075
(770) 642-7155
Fax (770) 642-7158
This record was last updated on Jul 23, 2008, roughly 18 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1174739155 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 7 4 7 3 9 1 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 5 4 5 3 9 1 1

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

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.

Common questions

What is NPI number 1174739155?
NPI 1174739155 is the National Provider Identifier assigned to LOGSDON CONRADSEN, LLC in Roswell, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology --…
How do I contact LOGSDON CONRADSEN, LLC?
The phone number on file with NPPES is (770) 642-7155, last updated Jul 23, 2008. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does LOGSDON CONRADSEN, LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1174739155 a valid number?
Yes. 1174739155 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.