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LEISA DIANNE LUDLAM PH.D
NPI 1497781835
Psychologist - Clinical in Pace, FL

Active since June 25, 2006Accepts Medicare Assignment
4509 WOODBINE RD, PACE, FL 32571(850) 995-2500(850) 995-2501 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leisa Dianne Ludlam Ph.d NPPES

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

LEISA DIANNE LUDLAM PH.D (NPI 1497781835) is an individual clinical provider in Pace, Florida, licensed in Florida (PY0004705) and active in the NPI registry since June 2006. She is a graduate of Other (1988).

NPPES Registry Identity

NPI1497781835
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLEISA DIANNE LUDLAMCredential: PH.D
Location Address4509 WOODBINE RDPace, FL 32571-8706
Mailing Address4509 Woodbine RdPace, FL 32571-8706 · (850) 995-2500 · Fax (850) 995-2501
Phone(850) 995-2500
Fax(850) 995-2501
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateJune 25, 2006
Last NPPES UpdateJune 5, 2008
✔ NPI 1497781835 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 FL · PY0004705
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.
4509 WOODBINE RD, Pace, FL 32571
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified73947FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leisa Dianne Ludlam Ph.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365415585
PECOS Enrollment IDI20040817000093

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
152 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32571 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

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

LEISA D. LUDLAM, PH.D.,P.A.
Psychologist
4509 WOODBINE RD
PACE, FL 32571
Santa Rosa County (850) 995-2500

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 Leisa Ludlam's NPI number?

The NPI number for Leisa Ludlam is 1497781835. It was assigned to this individual provider in the NPPES registry on June 25, 2006.

Where is Leisa Ludlam located?

Leisa Ludlam practices at 4509 Woodbine Rd, Pace, FL 32571. The listed phone number is (850) 995-2500.

What is Leisa Ludlam's specialty?

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

Is Leisa Ludlam enrolled in Medicare?

Yes. Leisa Ludlam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Leisa Ludlam accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Leisa Ludlam 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 Leisa Ludlam was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.