Active NPI
Julie Marie Lesperance, PSY.D.
- Psychologist
- Phoenix, AZ
National Provider Identifier
1942634589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 1401 W Washington St Ste 100
Phoenix, AZ 85007-2901 - Phone
- (310) 339-4395
- NPI assigned
- Aug 31, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
1401 W Washington St Ste 100
Phoenix, AZ 85007-2901
Mailing address
1401 W Washington St Ste 100
Phoenix, AZ 85007-2901
Phone (310) 339-4395
Other practice location 1
985 E Mingus Ave Apt 513
Cottonwood, AZ 86326-6718
Phone (310) 339-4395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3009 S Laurel St
Port Angeles, WA 98362-6912
Phone (480) 550-1776
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Port Angeles, WA
- NPI 1073962148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520294400000",
"number": "1942634589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 W WASHINGTON ST STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850072901",
"telephone_number": "310-339-4395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W WASHINGTON ST STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850072901",
"telephone_number": "310-339-4395"
}
],
"practiceLocations": [
{
"address_1": "985 E Mingus Ave Apt 513",
"address_purpose": "LOCATION",
"city": "Cottonwood",
"state": "AZ",
"postal_code": "863266718",
"country_code": "US",
"telephone_number": "310-339-4395",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LESPERANCE",
"first_name": "JULIE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-31",
"last_updated": "2018-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.