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

Individual provider Psychoanalyst · NPI 1609309103

Dr. Leland Vandendale, PHD is a Clinical Psychologist in San Francisco, California. Qualified in 1967, 59 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
59
Licensed in
CA
In the registry since
2017
Specialties on file
4
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

870 Market St Ste 1186
San Francisco, CA 94102-2922
Phone: (415) 359-4117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY 9210 (CA)
Psychoanalyst Taxonomy 102L00000X · Licence PSY 9210 (CA)
Adult Development & Aging Psychologist Taxonomy 103TA0700X · Licence PSY 9210 (CA)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PSY 9210 (CA)

Record details

NPI number1609309103
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 11, 2017
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1967 (59 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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