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

Q: What is Leslie Lange's NPI number?

The NPI number for Leslie Lange is 1497207211. It was assigned to this individual provider in the NPPES registry on October 27, 2016.

Q: What is Leslie Lange's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Leslie Lange was last updated on March 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

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: November 01, 2026.

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

On this page

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

Phone(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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Leslie Lange reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sentinel Services Group Inc

20 mi

Mental Health (Including Community Mental Health Center)

232 N MAIN ST
Spring Valley, NY 10977

Reassigned Medicare billing, New York enrollment
18 clinicians in this Medicare group

NPI 1144891375 (845) 241-9724

Grow Healthcare Group PA

1,105 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Connecticut and New York enrollments
613 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Grow Healthcare Group PC

2,563 mi

Mental Health

99 S ALMADEN BLVD STE 600
San Jose, CA 95113

Reassigned Medicare billing, California enrollment
3,139 clinicians in this Medicare group

NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 NPPES & CMS

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

What is Leslie Lange's NPI number?

The NPI number for Leslie Lange is 1497207211. It was assigned to this individual provider in the NPPES registry on October 27, 2016.

Where is Leslie Lange located?

Leslie Lange practices at 604 Monterey Ave, Pelham, NY 10803. The listed phone number is (818) 657-9487.

What is Leslie Lange's specialty?

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

Is Leslie Lange enrolled in Medicare?

Yes. Leslie Lange is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Leslie Lange's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leslie Lange reassigns Medicare benefits to 3 organizations: Sentinel Services Group Inc (Spring Valley, NY), Grow Healthcare Group PA (Miami, FL) and Grow Healthcare Group PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leslie Lange's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leslie Lange accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Health list Leslie Lange 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 Leslie Lange was last updated on March 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.