Dr Leah Ariana Grande, PHD in Burke, VA - Medicare Psychologist Provider

Dr Leah Ariana Grande, PHD is a medicare enrolled "Psychologist - Clinical" provider in Burke, Virginia. Her current practice location is 5244 Lyngate Ct Ste 200, Burke, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 910-2577.

Dr Leah Ariana Grande is licensed to practice in Colorado (license number PSYC.00015146) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265216147.

Contact Information

	Dr Leah Ariana Grande, PHD
	5244 Lyngate Ct Ste 200, Burke, VA 22015-1631
	(703) 910-2577
	(703) 661-9463

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Leah Ariana Grande
Gender	Female
Speciality	Psychologist - Clinical
Location	5244 Lyngate Ct Ste 200, Burke, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265216147
Provider Enumeration Date: 08/22/2023
Last Update Date: 01/30/2026

Medicare PECOS Information:

PECOS PAC ID: 2769830223
Enrollment ID: I20231122002140

Medical Identifiers

Medical identifiers for Dr Leah Ariana Grande such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265216147	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	PSYC.00015146 (Colorado)	Secondary
103TC0700X	Psychologist - Clinical	027356 (New York)	Secondary
103TC0700X	Psychologist - Clinical	35SI00781700 (New Jersey)	Secondary
103TC0700X	Psychologist - Clinical	PSYC.00015146 (Colorado)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Leah Ariana Grande allows following entities to bill medicare on her behalf.

Entity Name	University Physicians Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962461889 PECOS PAC ID: 3476465667 Enrollment ID: O20031105000375

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Leah Ariana Grande is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Leah Ariana Grande, PHD 5244 Lyngate Ct Ste 200, Burke, VA 22015-1631 Ph: (703) 910-2577	Dr Leah Ariana Grande, PHD 5244 Lyngate Ct Ste 200, Burke, VA 22015-1631 Ph: (703) 910-2577

Reviews and Comments

Psychologist in Burke, VA

Tiffany Duffing, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5244 Lyngate Ct Ste 200, Burke, VA 22015 Phone: 813-210-7584
Amy Zacaroli, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9900 Old Keene Mill Rd, Burke, VA 22015 Phone: 703-250-2450
Dr. Thuy Pham, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5244 Lyngate Court, Suite 200, Burke, VA 22015 Phone: 703-910-2577 Fax: 703-661-9463
Kimberly Wesley, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5244 Lyngate Ct # 200, Burke, VA 22015 Phone: 703-910-2577
Dr. Janet W Eig, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5244 Lyngate Ct Ste 200, Burke, VA 22015 Phone: 703-910-2577 Fax: 703-661-9463
Ms. Davina Gabriela, LCSW Psychologist Medicare: Medicare Enrolled Practice Location: 5999 Burke Commons Rd, Burke, VA 22015 Phone: 703-249-7200 Fax: 703-249-7250
Dr. Julie Kaplan Borenstein, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8987 Cotswold Dr, Burke, VA 22015 Phone: 703-615-6689 Fax: 703-385-6454

Dr Leah Ariana Grande, PHD - Medicare Psychologist in Burke, VA