DR. SHELLEY SHOWALTER PHD
NPI 1073233664
Psychologist - Clinical in Agoura Hills, CA
About Dr. Shelley Showalter Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHELLEY SHOWALTER PHD (NPI 1073233664) is an individual clinical provider in Agoura Hills, California, licensed in California (19205) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Shelley Showalter Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Shelley Showalter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Agoura Hills, CA 91301
- Reassigned Medicare billing, California enrollment
- 29 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AGOURA HILLS, CA 91301
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shelley Showalter's NPI number?
The NPI number for Shelley Showalter is 1073233664. It was assigned to this individual provider in the NPPES registry on September 1, 2022.
Where is Shelley Showalter located?
Shelley Showalter practices at 30495 Canwood St Ste 101, Agoura Hills, CA 91301. The listed phone number is (818) 707-7366.
What is Shelley Showalter's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Shelley Showalter enrolled in Medicare?
Yes. Shelley Showalter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Shelley Showalter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelley Showalter reassigns Medicare benefits to Family Psychological Services Inc (Agoura Hills, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelley Showalter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shelley Showalter was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Shelley Showalter, PHD · NPI 1073233664
Clinical provider in Agoura Hills, California. Individual provider, active in the CMS NPPES registry since September 1, 2022.
## Identity
- **NPI:** 1073233664 (Entity type: Individual)
- **Enumerated:** September 1, 2022
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 19205 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 30495 CANWOOD ST STE 101, Agoura Hills, CA 91301-4331
- **Phone:** (818) 707-7366
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Family Psychological Services Inc (NPI 1881746733, Agoura Hills, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** September 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1073233664) · Data from the CMS NPPES public registry.