DR. LELAND VANDENDALE PHD
NPI 1609309103
Psychologist - Clinical in San Francisco, CA

Q: What is Leland Vandendale's NPI number?

The NPI number for Leland Vandendale is 1609309103. It was assigned to this individual provider in the NPPES registry on April 11, 2017. The provider is also known as Leland Van Den Daele Phd.

Q: What is Leland Vandendale'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 Leland Vandendale was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 11, 2017PECOS EnrolledAccepts Medicare Assignment

870 MARKET ST STE 1186, SAN FRANCISCO, CA 94102(415) 359-4117 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 29, 2021, May 28, 2019, Mar 19, 2019 and 1 more (4 updates tracked since 2017).

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About Dr. Leland Vandendale Phd NPPES

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

DR. LELAND VANDENDALE PHD (NPI 1609309103) is an individual clinical provider in San Francisco, California, licensed in California (PSY 9210) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (1967).

NPPES Registry Identity

NPI1609309103

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LELAND VANDENDALECredential: PHD

Location Address870 MARKET ST STE 1186San Francisco, CA 94102-2922

Mailing Address4480 Fairway DrRohnert Park, CA 94928-1440 · (415) 359-4117

Phone(415) 359-4117

Sole ProprietorYes

Medical School CMSOtherGraduated 1967

Enumeration DateApril 11, 2017

Last NPPES UpdateMarch 29, 20214 updates tracked since enumeration

NPPES CertifiedMarch 29, 2021

✔ NPI 1609309103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY 9210

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 ListedPsychoanalystTaxonomy 102L00000X · License PSY 9210 (CA)

Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License PSY 9210 (CA)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSY 9210 (CA)

870 MARKET ST STE 1186, San Francisco, CA 94102

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Other Names 1

Professional Name (2)Leland Van Den Daele Phd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Dr. Leland Vandendale Phd 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 ID6103151238

PECOS Enrollment IDI20190711003165

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 94102 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

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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 Leland Vandendale's NPI number?

The NPI number for Leland Vandendale is 1609309103. It was assigned to this individual provider in the NPPES registry on April 11, 2017. The provider is also known as Leland Van Den Daele Phd.

Where is Leland Vandendale located?

Leland Vandendale practices at 870 Market St Ste 1186, San Francisco, CA 94102. The listed phone number is (415) 359-4117.

What is Leland Vandendale's specialty?

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

Is Leland Vandendale enrolled in Medicare?

Yes. Leland Vandendale 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 Leland Vandendale accept?

Health plans from Providence Health Plan list Leland Vandendale 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 Vandendale was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.