Leslie Lange (NPI# 1497207211, PAC ID# 2860755618) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1497207211 |
| PAC ID by PECOS | 2860755618 |
| Professional Enrollment ID | I20180410000897 |
| Full Name | Leslie Lange |
| Organization Legal Name | ON-SITE PSYCHOLOGICAL SERVICES PC |
| Address |
930 Mill Hill Ter Southport CT 06890-1265 |
| Phone Number | 2032597894 |
| Gender | F |
| Graduation Year | 1989 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 8820070105 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 15 Monsey Blvd, New Monsey Pk Home for Ad, Monsey, NY 10952-3356 | 8453563400 | ON-SITE PSYCHOLOGICAL SERVICES PC |
| 41 Lockwood Ave, New Rochelle, NY 10801-5023 | 9145761202 | ON-SITE PSYCHOLOGICAL SERVICES PC |
| 930 Mill Hill Ter, Southport, CT 06890-1265 | 2032597894 | ON-SITE PSYCHOLOGICAL SERVICES PC |
| Organization Legal Name | ON-SITE PSYCHOLOGICAL SERVICES PC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elijah J Bell | Psychologist, Clinical | On-site Psychological Services PC | 15 Monsey Blvd, New Monsey Pk Home for Ad, Monsey, NY 10952-3356 |
| Lori E Safferman | Clinical Social Worker | On-site Psychological Services PC | 65 Lafayette St, Spring Valley, NY 10977-5184 |
| Joseph H Kaufman | Clinical Social Worker | On-site Psychological Services PC | 8245 Grenfell St, Kew Gardens, NY 11415-1344 |
| Harland Kessaris | Psychologist, Clinical | On-site Psychological Services PC | 12 John St, Middletown, NY 10940-4900 |
| Patricia E Kravit | Psychologist, Clinical | On-site Psychological Services PC | 3441 Lexington Ave, Mohegan Lake, NY 10547-1278 |
| Eric J Padol | Psychologist, Clinical | On-site Psychological Services PC | 185 Palisade Ave, Yonkers, NY 10703-3102 |
| Timothy W. Welles | Clinical Psychologist | On-site Psychological Services PC | 126 Old Castle Point Rd, Wappingers Falls, NY 12590-7047 |
| Ileana Ruiz | Clinical Social Worker | On-site Psychological Services PC | 1s Route 9w, Haverstraw, NY 10927-1714 |
| Andiea Hedayat Harris | Psychologist, Clinical | On-site Psychological Services PC | 3200 Bronx Blvd, Bronx, NY 10467-6305 |
| John M Kowalski | Psychologist, Clinical | On-site Psychological Services PC | 2902 Tibbits Ave, Troy, NY 12180-7077 |
| Street Address |
930 MILL HILL TER |
| City | SOUTHPORT |
| State | CT |
| Zip | 06890-1265 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Herman | Internal Medicine | Integrated Wound Care Connecticut, Pllc | 930 Mill Hill Ter, Southport, CT 06890-1265 |
| Raheel Shafi | Plastic and Reconstructive Surgery | Integrated Wound Care Connecticut, Pllc | 930 Mill Hill Ter, Southport, CT 06890-1265 |
| Diane N Lusas | General Surgery | Integrated Wound Care Connecticut, Pllc | 930 Mill Hill Ter, Southport, CT 06890-1265 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Giunta | Physical Therapy | Professional Occupational and Physical Therapy Pllc | 3530 Post Rd, Suite 202, Southport, CT 06890-1169 |
| Andrew Shannon | Physical Therapy | Professional Orthopedic and Sports Physical Therapy PC | 3530 Post Rd, Suite 202, Southport, CT 06890-1169 |
| Bradford S Chervin | Otolaryngology | Ear Nose and Throat Allergy and Facial Plastic Surgery Specialists LLC | 2600 Post Rd, Southport, CT 06890-1258 |
| Tito V Vasquez | Plastic and Reconstructive Surgery | 2600 Post Rd, Suite 206, Southport, CT 06890-1258 | |
| Linda T Schulman | Qualified Audiologist | Ear Nose and Throat Allergy and Facial Plastic Surgery Specialists LLC | 2600 Post Rd, Southport, CT 06890-1258 |
| Khushbu V Janani | Internal Medicine | Northeast Medical Group Inc | 2600 Post Rd, Southport, CT 06890-1258 |
| Jennifer A Marrone | Obstetrics/gynecology | Physicians for Women's Health, LLC | 2600 Post Rd, Suite 1l, Southport, CT 06890-1258 |
| Lee D Jacobs | Obstetrics/gynecology | Physicians for Women's Health, LLC | 2600 Post Rd, Suite 1l, Southport, CT 06890-1258 |
| Abby H Smith | Qualified Audiologist | Ear Nose and Throat Allergy and Facial Plastic Surgery Specialists LLC | 2600 Post Rd, Southport, CT 06890-1258 |
| Robert W Kipp Jr. | Chiropractic | 2600 Post Rd, Suite L2, Southport, CT 06890-1258 | |
| Find all physicians in zip 06890 | |||
| City | SOUTHPORT |
| Zip Code | 06890 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | SOUTHPORT + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Leslie Lange.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.