LESLIE DEAN POPPE (PHD) – Psychologist, NPI 1114036217

LESLIE DEAN POPPE (PHD) is a healthcare provider. based in Everett, Washington. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PY00002080 (WA). The NPI Number for LESLIE DEAN POPPE (PHD) is 1114036217

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
LESLIE DEAN POPPE (PHD)
NPI
1114036217
Phone
(425) 513-8509
Address
9617 7th Ave SE
Enumeration Date
30 August 2006
Last Update Date
17 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4252590966
Graduation Year
1995 (31 years ago)
PAC ID
4789862434
Group Practice PAC ID
6406752153
Professional Enrollment ID
I20110628000223
Address ID
WA982014920EV4027XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

775 CLINICAL PSYCHOLOGIST in WA

Provider Addresses for LESLIE DEAN POPPE (PHD)

  • 9617 7th Ave SE

    Everett, WA 982083710

    Phone: (425) 513-8509

    Fax: (425) 290-9774

    Type: Location

  • Everett Post Office, 3102, Hoyt Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States

    EVERETT, WA 982065127

    Phone: (425) 644-4100

    Fax: (425) 644-4101

    Type: Mailing

  • 4027, Hoyt Avenue, Everett, Snohomish County, Washington, 98201, United States

    EVERETT, WA 982014920

    Phone: (425) 304-8476

    Type: Location

  • 7600 EVERGREEN WAY

    EVERETT, WA 982036421

    Phone: (206) 860-5414

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110628000223IClinical PsychologistWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes12622$0
90791Psychiatric diagnostic evaluation2020$0
View full utilization report →

Insurance plans in this area (ZIP 98208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406752153View full group profile
NameSpecialtyState
-OR
-WA
-WA
P A T H O L O G YTN
Nurse PractitionerWA
Diagnostic RadiologyWA
Nurse PractitionerWA
Physical Therapist In Private PracticeWA
O T O L A R Y N G O L O G YWA
Emergency MedicineOR

Reviews

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Frequently asked questions

What is LESLIE DEAN POPPE (PHD)'s NPI number?
LESLIE DEAN POPPE (PHD)'s NPI is 1114036217 — the number used across U.S. healthcare to identify this provider.
Would LESLIE DEAN POPPE (PHD) appear as active to a payer?
You can treat LESLIE DEAN POPPE (PHD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for LESLIE DEAN POPPE (PHD)?
At a glance, LESLIE DEAN POPPE (PHD) is tied to Psychologist. Clinical services aligned with this taxonomy classification.
Is LESLIE DEAN POPPE (PHD) associated with Everett?
Public fields place LESLIE DEAN POPPE (PHD) around Everett, Washington. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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