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Deactivated NPI 1790801223 Deactivated / Inactive NPI Female Practitioner

Haven Logan , LCSW

Psychologist • Ukiah, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Haven Logan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 22, 2007
NPI Deactivation Date March 04, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Haven Logan, LCSW was a registered Psychologist practicing in Ukiah, CA. Throughout an active medical career spanning 12 years, Haven Logan provided care at the practice location at 514 S SCHOOL ST until profile deactivation on 2019-03-04.

Practice Location & Contact Primary Location

Practice Address

514 S School St

Ukiah, CA 954825438

Telephone 7074673801

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Ukiah, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
14 Specialists

Practicing in Ukiah, CA (7695 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License CA LCS7136

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Janet Mendell , LCSW

Social Worker - Clinical

NPI 1013057462

Licensed Clinical Social Worker

Nancy Nanna , LCSW

Counselor - Mental Health

NPI 1154424273

Licensed Clinical Social Worker

Paul Nadel , MA, MFT

Marriage & Family Therapist

NPI 1275667172

Master of Arts, Marriage and Family Therapist

Edward Fox , LCSW

Social Worker - Clinical

NPI 1861549065

Licensed Clinical Social Worker

Mira Walker , MFT

Marriage & Family Therapist

NPI 1982829552

Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 04, 2019

Record deactivated on March 04, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 514 S SCHOOL ST, UKIAH, CA 954825438 (Tel: 7074673801)

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Updated Business Mailing Address July 08, 2007

Registered at 514 S SCHOOL ST, UKIAH, CA 954825438 (Tel: 7074673801)

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Provider Name / Credentials Updated July 08, 2007

Recorded as HAVEN LOGAN, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #LCS7136 in CA)

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Initial NPI Registration & Enumeration March 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790801223
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2007
Last Update: July 08, 2007
Deactivation Date: March 04, 2019

Mailing Address

514 S School St

Ukiah, CA 954825438

Phone: 7074673801

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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