Individual provider

Leland Vandendale, PHD

Clinical Psychologist Psychoanalyst Adult Development & Aging Psychologist Medicare enrolled

Leland Vandendale, PHD is a Clinical Psychologist in San Francisco, CA, registered under NPI 1609309103. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 870 MARKET ST STE 1186, San Francisco, CA 94102. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

870 MARKET ST STE 1186, San Francisco, CA 94102 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PSY 9210 CA Clinical Psychologist primary
PSY 9210 CA Psychoanalyst
PSY 9210 CA Adult Development & Aging Psychologist
PSY 9210 CA Clinical Child & Adolescent Psychologist

This provider holds licence PSY 9210 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Clinical Psychologist
PAC ID
6103151238

Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Psychologist. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinical covers

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. NUCC Health Care Provider Taxonomy, code 103TC0700X
Behavioral Health & Social Service Providers Psychologist Clinical

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103TC0700X Clinical Psychologist Clinical PSY 9210 CA primary
102L00000X Psychoanalyst PSY 9210 CA
103TA0700X Adult Development & Aging Psychologist Adult Development & Aging PSY 9210 CA
103TC2200X Clinical Child & Adolescent Psychologist Clinical Child & Adolescent PSY 9210 CA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1609309103 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 11, 2017
Last updatedMar 29, 2021
StatusActive
Sole proprietorYes
CredentialPHD
Practice address 870 MARKET ST STE 1186
San Francisco, CA 94102
(415) 359-4117
Mailing address 4480 FAIRWAY DR
Rohnert Park, CA 94928
The last update on file is Mar 29, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1609309103 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 0 9 3 0 9 1 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 0 9 6 0 9 1 0

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1609309103?
NPI 1609309103 is the National Provider Identifier assigned to Leland Vandendale, PHD in San Francisco, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
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 --…
How do I contact Leland Vandendale, PHD?
The phone number on file with NPPES is (415) 359-4117, last updated Mar 29, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Leland Vandendale, PHD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1609309103 a valid number?
Yes. 1609309103 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.