RICHARD HENRY LOGAN (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1043085871

RICHARD HENRY LOGAN (PMHNP-BC) is a healthcare provider. based in Burbank, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 209.028575 (IL). The NPI Number for RICHARD HENRY LOGAN (PMHNP-BC) is 1043085871

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD HENRY LOGAN (PMHNP-BC)
NPI
1043085871
Phone
(708) 548-8308
Address
8649 NEW ENGLAND AVE
Enumeration Date
21 November 2023
Last Update Date
15 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7086362211
Graduation Year
2023 (3 years ago)
PAC ID
7315489846
Group Practice PAC ID
7517923246
Professional Enrollment ID
I20240611004489
Address ID
IL604536210OA10735AVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for RICHARD HENRY LOGAN (PMHNP-BC)

  • 8649 NEW ENGLAND AVE

    BURBANK, IL 604592216

    Phone: (708) 548-8308

    Type: Mailing

  • 1010 LAKE ST STE 110

    OAK PARK, IL 603011106

    Phone: (331) 529-7413

    Fax: (877) 428-7891

    Type: Location

  • 8649 New England Ave

    Burbank, IL 604592216

    Phone: (708) 548-8308

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $313.

Total Amount is formed as General ($313) + Research ($0) + Ownership ($0) = $313.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($93).

Total Amount

$313

General + Research + Ownership

Payments

8

Total payment records

General Amount

$313

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240611004489INurse PractitionerILTBD
I20240612001885ICertified Clinical Nurse Specialist (Cns)ILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60459)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517923246View full group profile
NameSpecialtyState
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Nurse PractitionerIL
Nurse PractitionerIL
Clinical Social WorkerIL
Nurse PractitionerIL
-IL
Nurse PractitionerIL
P S Y C H I A T R YIL

Reviews

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Frequently asked questions

Does RICHARD HENRY LOGAN (PMHNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — RICHARD HENRY LOGAN (PMHNP-BC) uses 1043085871.
Does CMS list RICHARD HENRY LOGAN (PMHNP-BC) as active?
Yes — RICHARD HENRY LOGAN (PMHNP-BC) is active in the NPI listing used on this page.
What is RICHARD HENRY LOGAN (PMHNP-BC)'s specialty?
The listing groups RICHARD HENRY LOGAN (PMHNP-BC) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is RICHARD HENRY LOGAN (PMHNP-BC) based?
RICHARD HENRY LOGAN (PMHNP-BC) is tied to Burbank, Illinois in the data we show; additional addresses may exist on the full record.
Why does RICHARD HENRY LOGAN (PMHNP-BC) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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