Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kelly L Lange, PHD

Individual provider Clinical Neuropsychologist · NPI 1124247226

Dr. Kelly L Lange, PHD is a Clinical Psychologist in San Diego, California. Qualified in 2005, 21 years ago. Practices with Joanne M Hamilton Psychologist a Professional Corporation, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

9606 Tierra Grande St Ste 107
San Diego, CA 92126-6501
Phone: (858) 693-3113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PSY21401 (CA)

Record details

NPI number1124247226
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 25, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Joanne M Hamilton Psychologist A Professional Corporation — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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