Individual provider Active NPI

Joshua David Lepore

  • Psychologist
  • Nevada City, CA
National Provider Identifier
1922293497
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY24947 Issued in CA
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

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210930002845 CA Practitioner - Clinical Psychologist 9032516216 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
RPS2010173CAMDMental Health Counselor
PSY24947CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Sierra Medical Clinic, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Western Sierra Medical Clinic, Inc. CurrentSince Sep 1, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.