LESLIE LICHTENSTEIN PH.D.
NPI 1013271964
Psychologist - Clinical in Los Angeles, CA

Q: What is Leslie Lichtenstein's NPI number?

The NPI number for Leslie Lichtenstein is 1013271964. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Q: What is Leslie Lichtenstein's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Leslie Lichtenstein enrolled in Medicare?

No. Leslie Lichtenstein has opted out of Medicare through March 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since June 26, 2012Opted out of Medicare · through Mar 17, 2028

439 N LARCHMONT BLVD, LOS ANGELES, CA 90004(323) 665-8986 Get Directions Write a Review

NPPES record last updated: June 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Leslie Lichtenstein Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLIE LICHTENSTEIN PH.D. (NPI 1013271964) is an individual clinical provider in Los Angeles, California, licensed in California (PSY22407) and active in the NPI registry since June 2012. She has opted out of Medicare through March 17, 2028.

NPPES Registry Identity

NPI1013271964

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameLESLIE LICHTENSTEINCredential: PH.D.

Location Address439 N LARCHMONT BLVDLos Angeles, CA 90004-3043

Mailing Address6646 Hollywood Blvd Ste 218Los Angeles, CA 90028-6155 · (323) 665-8986

Phone(323) 665-8986

Sole ProprietorYes

Enumeration DateJune 26, 2012

✔ NPI 1013271964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY22407

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.

439 N LARCHMONT BLVD, Los Angeles, CA 90004

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Leslie Lichtenstein Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 17, 2022 through March 17, 2028.

Opt-Out Effective DateMarch 17, 2022

Opt-Out In Effect ThroughMarch 17, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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