Active NPI
Joshua David Lepore
- Psychologist
- Nevada City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY24947
- Practice address
- 103 Providence Mine Rd Ste 101
Nevada City, CA 95959-2949 - Phone
- (530) 292-3478
- Fax
- (530) 292-4296
- NPI assigned
- Sep 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY24947 | CA | Primary |
| Mental Health Counselor | 101YM0800X | RPS2010173 | CA |
Addresses
Primary practice location
103 Providence Mine Rd Ste 101
Nevada City, CA 95959-2949
Mailing address
PO Box 995
Grass Valley, CA 95945-0995
Phone (530) 292-3478
Other practice location 1
15301 Tyler Foote Rd
Nevada City, CA 95959-9318
Phone (530) 292-3478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 Providence Mine Rd
Suite 101
Nevada City, CA 95959-2949
Phone (530) 292-3478
PO Box
Suite 286
Downieville, CA 95936-0286
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPS2010173 | CA | MD | Mental Health Counselor |
| PSY24947 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Sierra Medical Clinic, Inc. | Current | Accepting new patients | |
| Western Sierra Medical Clinic, Inc. | Current | Accepting new patients |
Locations
103 Providence Mine Rd
Ste 101
Nevada City, CA 95959
Phone (530) 265-2914
15301 Tyler Foote Rd
Nevada City, CA 95959
Phone (530) 292-3478
Interoperability endpoints
- joshua.lepore@wsmc1.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Nevada City, CA
- NPI 1316169618
-
- Federally Qualified Health Center (FQHC)
- Nevada City, CA
- NPI 1427827161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1922293497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 995",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959450995",
"telephone_number": "530-292-3478",
"fax_number": "530-292-4296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 PROVIDENCE MINE RD STE 101",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959592949",
"telephone_number": "530-292-3478",
"fax_number": "530-292-4296"
}
],
"practiceLocations": [
{
"address_1": "15301 Tyler Foote Rd",
"address_purpose": "LOCATION",
"city": "Nevada City",
"state": "CA",
"postal_code": "959599318",
"country_code": "US",
"telephone_number": "530-292-3478",
"fax_number": "530-292-4296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEPORE",
"first_name": "JOSHUA",
"middle_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-07",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY24947",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "RPS2010173",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nevada City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.