Logan Wilz · Clinical Psychologist

2593 Fairview Rd, Neenah, WI 54956-9568

Overview

Logan Wilz is a Clinical Psychologist practicing in Green Bay, Wisconsin. The National Provider Identifier (NPI) is #1598544116, which was assigned on September 25, 2023, and the registration record was last updated on October 29, 2025. The practitioner's main practice location is at 3150 Gershwin Dr, Green Bay, WI 54311-4328; the contact telephone number is 9203916952, and the fax number is 9203914811. The primary taxonomy of Logan Wilz is Clinical Psychologist (103TC0700X), with specialization in Clinical. Logan Wilz is licensed to practice in the state of Wisconsin (#5461).

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.

Provider Information

NPI 1598544116
Entity Type Individual
Provider Name DR. LOGAN WILZ
Gender Male
Credential PSY.D.
Practice Address 3150 Gershwin Dr
Green Bay
WI 54311-4328
Practice Telephone 9203916952
Practice Fax Number 9203914811
Mailing Address 2593 Fairview Rd
Neenah
WI 54956-9568
Mailing Telephone 9205380122
Mailing Fax Number 9203914811
Certification Date 2025-10-29
Enumeration Date 2023-09-25
Last Update Date 2025-10-29
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y103TC0700XPsychologistClinical5461WI

Taxonomy Information

Primary Taxonomy

Code 103TC0700X
Taxonomy Clinical Psychologist
Classification Psychologist
Specialization Clinical
Grouping Behavioral Health & Social Service Providers
Definition: 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.
Notes: Source: American Psychological Association, www.apa.org [1/1/2019: new definition]

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Location Information

Street Address 2593 FAIRVIEW RD
City NEENAH
State WI
Zip Code 54956-9568
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Elizabeth Ann Kohl · Elizabeth A Vandenbush 1265 W American Dr, Neenah, WI 54956-1405Family Nurse Practitioner2025-06-20
Heather Kim Beck 1265 W American Dr Ste 100, Neenah, WI 54956Adult Health Nurse Practitioner2007-08-29
Dawn Marie Wypiszynski 201 E. Bell Street, Neenah, WI 54956Pharmacist2007-09-18
Wisconsin Institute of Surgical Excellence LLC 1265 W American Dr Ste 200, Neenah, WI 54956Ambulatory Surgical Clinic/Center2018-01-12
Jessica Jo Roby 937 Westfield Ln, Neenah, WI 54956-1329Child & Adolescent Psychiatric/Mental Health Registered Nurse2022-02-04
Alexandra Ziepke 1205 W American Dr, Neenah, WI 54956-1405Physical Therapist2025-08-20
Access Elevator, Inc. 2140 American Dr, Neenah, WI 54956-1004Vehicle Modifications Contractor2020-03-26
Katherine Mary Thompson 1265 W American Dr # 100, Neenah, WI 54956-1405Family Nurse Practitioner2024-07-13
Daniel J Higgins 1265 W American Dr Ste 100, Neenah, WI 54956Urology Physician2006-06-14
Wal-Mart Stores East, Lp 1155 Winneconne Avenue, Neenah, WI 54956-0782Optician2006-10-17
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Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
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Jasmine Alyse Logan · Jasmin Alyse Logan 403 E Meeker St Ste 200, Kent, WA 98030-5904Student in an Organized Health Care Education/Training Program2023-07-27
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.