LELAND ST. CHARLES PSY.D.
NPI 1457715922
Psychologist - Clinical in Portland, OR

Q: What is Leland St. Charles's NPI number?

The NPI number for Leland St. Charles is 1457715922. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Q: What is Leland St. Charles's specialty?

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

Active since April 11, 2016PECOS Enrolled

2700 SE 26TH AVE STE C, PORTLAND, OR 97202(503) 755-8808 Get Directions Write a Review

NPPES record last updated: March 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Leland St. Charles Psy.d. NPPES

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

LELAND ST. CHARLES PSY.D. (NPI 1457715922) is an individual clinical provider in Portland, Oregon, licensed in Minnesota (5872) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457715922

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameLELAND ST. CHARLESCredential: PSY.D.

Location Address2700 SE 26TH AVE STE CPortland, OR 97202-1288

Mailing Address8415 Se 75th AvePortland, OR 97206-8613 · (503) 755-8808

Phone(503) 755-8808

Sole ProprietorNo

Enumeration DateApril 11, 2016

Last NPPES UpdateMarch 6, 2022

NPPES CertifiedMarch 6, 2022

✔ NPI 1457715922 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 MN · 5872

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.

2700 SE 26TH AVE STE C, Portland, OR 97202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leland St. Charles Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97202 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

$176.88 typical visit price

range $58.99 – $176.88

Typical copayment $44.22 (range $14.74 – $44.22)

Most-billed visit code 99205

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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 2

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

KATHARYN WATERFIELD MA, LPC

Counselor (Mental Health)

2700 SE 26TH AVE STE C
PORTLAND, OR 97202

Multnomah County (503) 351-2607

HAUGH CHIROPRACTIC & MASSAGE LLC

Chiropractor

2700 SE 26TH AVE STE C
PORTLAND, OR 97202

Multnomah County (971) 529-6533

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 Leland St. Charles's NPI number?

The NPI number for Leland St. Charles is 1457715922. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Leland St. Charles located?

Leland St. Charles practices at 2700 SE 26th Ave Ste C, Portland, OR 97202. The listed phone number is (503) 755-8808.

What is Leland St. Charles's specialty?

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

Is Leland St. Charles enrolled in Medicare?

Yes. Leland St. Charles is registered in the Medicare PECOS enrollment system.

What insurance does Leland St. Charles accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Leland St. Charles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leland St. Charles was last updated on March 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.