DR. LESLIE LANGE PH.D.
NPI 1497207211
Psychologist - Clinical in Pelham, NY

Active since October 27, 2016PECOS Enrolled
604 MONTEREY AVE, PELHAM, NY 10803(818) 657-9487 Get Directions Write a Review

NPPES record last updated: March 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 8, 2025, Jun 16, 2017, Jun 9, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Leslie Lange Ph.d. NPPES

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

DR. LESLIE LANGE PH.D. (NPI 1497207211) is an individual clinical provider in Pelham, New York, licensed in New York (022683) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Larchmont, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1497207211
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LESLIE LANGECredential: PH.D.
Location Address604 MONTEREY AVEPelham, NY 10803-2514
Mailing Address604 Monterey AvePelham, NY 10803-2514 · (818) 657-9487
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateOctober 27, 2016
Last NPPES UpdateMarch 8, 20254 updates tracked since enumeration
NPPES CertifiedMarch 8, 2025
NPI 1497207211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in NY · 022683 Licensed in CA · PSY12673 Licensed in CT · 003655
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.

604 MONTEREY AVE, Pelham, NY 10803

Secondary Practice Location 1

Location 1132 Larchmont AveLarchmont, NY 10538-2869 · Phone (818) 657-9487

Accepted 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)

Dr. Leslie Lange Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860755618
PECOS Enrollment IDI20180803001136
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 10803 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497207211, enumerated as an "individual" on October 27, 2016.

The provider is located at 604 MONTEREY AVE PELHAM, NY 10803 and the phone number is (818) 657-9487.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.