Veronica Diaz Peralta Lange, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

019734 Issued in NY

Practice address

10 Park Ave Ste 2C
New York, NY 10016-4338

Phone

(347) 534-8461

NPI assigned

Aug 5, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Veronica Horenstein Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2018 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063726784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PARK AVE",
            "address_2": "SUITE 2 C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164338",
            "telephone_number": "347-534-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARK AVE STE 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164338",
            "telephone_number": "347-534-8461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Rowayton Ave Ste 12",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068531405",
            "country_code": "US",
            "telephone_number": "347-534-8461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGE",
        "first_name": "VERONICA",
        "middle_name": "DIAZ PERALTA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019734-1",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "HORENSTEIN",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Lange, NP
• Nancy Patricia Lange, MS
• Nicholas Lange, PHARMD
• Rachel A Lange, M.D.
• Rhoda Lange, LCSWR
• Donna M Langenbahn, PH.D.
• Bonnie Langer, LCSW
• David J Langer, MD
• Hope Langer, MD
• Karen G Langer, PHD

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.