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DR. KIYANOOSH SHAMLOU PHD
NPI 1083036537
Psychologist - Clinical in Irvine, CA

Active since January 16, 2014PECOS Enrolled
4199 CAMPUS DR, SUITE 550, IRVINE, CA 92612(714) 585-5380 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kiyanoosh Shamlou Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIYANOOSH SHAMLOU PHD (NPI 1083036537) is an individual clinical provider in Irvine, California, licensed in California (PSY26074) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083036537
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KIYANOOSH SHAMLOUCredential: PHD
Location Address4199 CAMPUS DR, SUITE 550Irvine, CA 92612-4684
Mailing Address4199 Campus Dr, Suite 550Irvine, CA 92612-4684 · (714) 585-5380
Phone(714) 585-5380
Sole ProprietorYes
Enumeration DateJanuary 16, 2014
Last NPPES UpdateMarch 25, 2020
NPPES CertifiedMarch 25, 2020
✔ NPI 1083036537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY26074
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License PSY26074 (CA)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License PSY26074 (CA)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License PSY 26074 (CA)
4199 CAMPUS DR, Irvine, CA 92612
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kiyanoosh Shamlou Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARA CLANCY HERNANDEZ PH.D.
Psychologist
4199 CAMPUS DR, SUITE 300
IRVINE, CA 92612
Orange County (949) 371-6135
DR. SUSAN DAVOODIFAR M.D.
Internal Medicine
4199 CAMPUS DR, SUITE 550
IRVINE, CA 92612
Orange County (949) 509-6503
DR. UYEN BUI PH.D.
Psychologist (Counseling)
4199 CAMPUS DR, SUITE 550
IRVINE, CA 92612
Orange County (949) 870-9355
DR. SANAZ MOTAMEDI MFT
Marriage & Family Therapist
4199 CAMPUS DR, SUITE 550
IRVINE, CA 92612
Orange County (949) 413-7140
DR. ELIZABETH STEWART PARKER PH.D.
Psychologist (Clinical)
4199 CAMPUS DR, STE 350
IRVINE, CA 92612
Orange County (949) 856-0404
ALEXANDER MCPHETERS B.S.
Student in an Organized Health Care Education/Training Program
4199 CAMPUS DR
IRVINE, CA 92612
Orange County (949) 737-5460
DR. MANUEL LINCOLN SELYA PH.D. PSYCHOLOGY
Psychologist (Clinical)
4199 CAMPUS DR, 350
IRVINE, CA 92612
Orange County (949) 929-1143
DEKE MARCUS PSYD
Psychologist (Clinical)
4199 CAMPUS DR, SUITE 500
IRVINE, CA 92612
Orange County (949) 354-4147

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 Kiyanoosh Shamlou's NPI number?

The NPI number for Kiyanoosh Shamlou is 1083036537. It was assigned to this individual provider in the NPPES registry on January 16, 2014.

Where is Kiyanoosh Shamlou located?

Kiyanoosh Shamlou practices at 4199 Campus Dr Suite 550, Irvine, CA 92612. The listed phone number is (714) 585-5380.

What is Kiyanoosh Shamlou's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kiyanoosh Shamlou enrolled in Medicare?

Yes. Kiyanoosh Shamlou is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kiyanoosh Shamlou was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.