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

Dr. Leslie Lange, PHD

Individual provider Clinical Psychologist · NPI 1497207211

Dr. Leslie Lange, PHD is a Clinical Psychologist in Pelham, New York. Qualified in 1989, 37 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in California, Connecticut and New York.

Years since qualifying
37
Licensed in
CA, CT, NY
In the registry since
2016
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

604 Monterey Ave
Pelham, NY 10803-2514
Phone: (818) 657-9487
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 132 Larchmont Ave, Larchmont, NY 10538-2869 — (818) 657-9487

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 022683 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY12673 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 003655 (CT)

Record details

NPI number1497207211
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 27, 2016
Last updated in NPPESMarch 8, 2025
Certification dateMarch 8, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Not indicated

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