Active NPI
Daniel James Lange
- Clinical Psychologist
- Parris Island, SC
National Provider Identifier
1710712583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- UNLICENSED
- Practice address
- 670 Boulevard de France
BLDG 674
Parris Island, SC 29902 - Phone
- (843) 228-2811
- NPI assigned
- Sep 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | UNLICENSED | VA | Primary |
Addresses
Primary practice location
670 Boulevard de France
BLDG 674
Parris Island, SC 29902
Mailing address
670 Boulevard de France
BLDG 674
Parris Island, SC 29902
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UNLICENSED | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1710712583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 BOULEVARD DE FRANCE",
"address_2": "BLDG 674",
"city": "PARRIS ISLAND",
"state": "SC",
"postal_code": "29902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 BOULEVARD DE FRANCE",
"address_2": "BLDG 674",
"city": "PARRIS ISLAND",
"state": "SC",
"postal_code": "29902",
"telephone_number": "843-228-2811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "DANIEL",
"middle_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-03",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "UNLICENSED",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parris Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.