Individual provider Active NPI

Leslie Van Buren Waite Jr., PSY.D.

  • Clinical Psychologist
  • Castleton on Hudson, NY
National Provider Identifier
1558910208
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
023836 Issued in NY
Practice address
6 Chestnut St
Castleton on Hudson, NY 12033-1506
Phone
(518) 414-5563
NPI assigned
Sep 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 023836 NY Primary

Addresses

Primary practice location

6 Chestnut St
Castleton on Hudson, NY 12033-1506

Mailing address

6 Chestnut St
Castleton on Hudson, NY 12033-1506
Phone (518) 414-5563

Other practice location 1

113 Holland Ave
Albany, NY 12208-3410
Phone (518) 626-5334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1558910208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CHESTNUT ST",
            "city": "CASTLETON ON HUDSON",
            "state": "NY",
            "postal_code": "120331506",
            "telephone_number": "518-414-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CHESTNUT ST",
            "city": "CASTLETON ON HUDSON",
            "state": "NY",
            "postal_code": "120331506",
            "telephone_number": "518-414-5563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Holland Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083410",
            "country_code": "US",
            "telephone_number": "518-626-5334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAITE",
        "first_name": "LESLIE",
        "middle_name": "VAN BUREN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-05",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "023836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castleton on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.