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DR. LEAH ARIANA GRANDE PHD
NPI 1265216147
Psychologist - Clinical in Burke, VA

Active since August 22, 2023Opted out of Medicare · through Oct 1, 2028
5244 LYNGATE CT STE 200, BURKE, VA 22015(703) 910-2577(703) 661-9463 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jan 30, 2026, Nov 9, 2023, Aug 22, 2023 (3 updates tracked since 2023).

About Dr. Leah Ariana Grande Phd NPPES

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

DR. LEAH ARIANA GRANDE PHD (NPI 1265216147) is an individual clinical provider in Burke, Virginia, licensed in Colorado (PSYC.00015146) and active in the NPI registry since August 2023. She has opted out of Medicare through October 1, 2028.

NPPES Registry Identity

NPI1265216147
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LEAH ARIANA GRANDECredential: PHD
Location Address5244 LYNGATE CT STE 200Burke, VA 22015-1631
Mailing Address5244 Lyngate Ct Ste 200Burke, VA 22015-1631 · (703) 910-2577 · Fax (703) 661-9463
Phone(703) 910-2577
Fax(703) 661-9463
Sole ProprietorNo
Enumeration DateAugust 22, 2023
Last NPPES UpdateJanuary 30, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
✔ NPI 1265216147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in CO · PSYC.00015146✔ Licensed in NY · 027356✔ Licensed in NJ · 35SI00781700
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.
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSYC.00015146 (CO)
5244 LYNGATE CT STE 200, Burke, VA 22015
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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

Dr. Leah Ariana Grande Phd 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 October 1, 2026 through October 1, 2028.

Opt-Out Effective DateOctober 1, 2026
Opt-Out In Effect ThroughOctober 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

TIFFANY DUFFING PHD
Psychologist (Clinical)
5244 LYNGATE CT STE 200
BURKE, VA 22015
Fairfax County (813) 210-7584
DR. JANET W EIG PSY.D.
Psychologist (Clinical)
5244 LYNGATE CT STE 200
BURKE, VA 22015
Fairfax County (703) 910-2577
DR. DENISE POWERS PHD
Psychologist (Clinical)
5244 LYNGATE CT STE 200
BURKE, VA 22015
Fairfax County (703) 910-2577
GI PSYCHOLOGY, PLLC
Psychologist (Clinical)
5244 LYNGATE CT STE 200
BURKE, VA 22015
Fairfax County (703) 244-9807
DR. ALI NAVIDI PSY.D.
Psychologist (Clinical)
5244 LYNGATE CT STE 200
BURKE, VA 22015
Fairfax County (240) 603-4882
DR. ANTONIA MARIE REPOLLET PSYD
Psychologist
5244 LYNGATE CT STE 200
BURKE, VA 22015
Fairfax County (703) 910-2577
SARA HIEBSCH
Counselor (Professional)
5244 LYNGATE CT STE 200
BURKE, VA 22015
Fairfax County (281) 900-2986
DR. NAVIDI & ASSOCIATES
Psychologist (Cognitive & Behavioral)
5244 LYNGATE CT STE 200
BURKE, VA 22015
Fairfax County (703) 537-5720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leah Grande's NPI number?

The NPI number for Leah Grande is 1265216147. It was assigned to this individual provider in the NPPES registry on August 22, 2023.

Where is Leah Grande located?

Leah Grande practices at 5244 Lyngate Ct Ste 200, Burke, VA 22015. The listed phone number is (703) 910-2577.

What is Leah Grande's specialty?

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

Is Leah Grande enrolled in Medicare?

No. Leah Grande has opted out of Medicare through October 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Leah Grande was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.