Organization Active NPI

Julie M Lesperance, Psy.D., PLLC

  • Clinical Psychologist
  • Port Angeles, WA
National Provider Identifier
1073962148
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
JULIE M LESPERANCE, PSY.D., PLLC
Practice address
204 Creekside Dr
Port Angeles, WA 98362-3011
Phone
(360) 460-7360
Fax
(844) 254-6908
NPI assigned
Jun 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Authorized official

Name
Julie Marie Lesperance, PSYDNPI 1942634589
Title
Clinical Psychologist
Phone
(360) 460-7360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 4629 AZ
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

204 Creekside Dr
Port Angeles, WA 98362-3011

Mailing address

PO Box 1784
Port Angeles, WA 98362-0094
Phone (360) 460-7360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220311001488 WA Part B Supplier - Clinic/Group Practice 1254622574 Receives reassigned benefits from 1 practitioner
Practice locations: Port Angeles, WA

National Provider Directory

National Provider Directory

Locations

1401 W Washington St
Ste 100
Phoenix, AZ 85007
Phone (310) 339-4395

3013 N 67th Pl
Ste 101
Scottsdale, AZ 85251
Phone (480) 247-9190

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1073962148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1784",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983620094",
            "telephone_number": "360-460-7360",
            "fax_number": "844-254-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CREEKSIDE DR",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623011",
            "telephone_number": "360-460-7360",
            "fax_number": "844-254-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE M LESPERANCE, PSY.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "LESPERANCE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "360-460-7360",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "4629",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.