DR. STELLA PANOS PH.D.
NPI 1104252352
Clinical Neuropsychologist in Santa Monica, CA

Q: What is Stella Panos's NPI number?

The NPI number for Stella Panos is 1104252352. It was assigned to this individual provider in the NPPES registry on September 19, 2013.

Q: What is Stella Panos's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Stella Panos was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since September 19, 2013PECOS EnrolledAccepts Medicare Assignment

720 WILSHIRE BLVD STE 204, SANTA MONICA, CA 90401(424) 345-6377(800) 387-6076 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 17, 2023, Apr 19, 2021, Aug 27, 2020 and 2 more (5 updates tracked since 2018).

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About Dr. Stella Panos Ph.d. NPPES

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

DR. STELLA PANOS PH.D. (NPI 1104252352) is an individual clinical neuropsychologist in Santa Monica, California, licensed in California (PSY25723) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1104252352

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. STELLA PANOSCredential: PH.D.

Location Address720 WILSHIRE BLVD STE 204Santa Monica, CA 90401-1737

Mailing Address720 Wilshire Blvd Ste 204Santa Monica, CA 90401-1737 · (562) 964-1906

Phone(424) 345-6377

Fax(800) 387-6076

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateSeptember 19, 2013

Last NPPES UpdateOctober 28, 20255 updates tracked since enumeration

NPPES CertifiedOctober 28, 2025

✔ NPI 1104252352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CA · PSY25723

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY25723 (CA)

720 WILSHIRE BLVD STE 204, Santa Monica, CA 90401

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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. Stella Panos Ph.d. 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.

PECOS PAC ID3779713375

PECOS Enrollment IDI20140227000487

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.

Medicare Billing Reassignments

Medicare enrollment records show Stella Panos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stella Panos Phd A Professional Psychology Corporation

Same address

Clinical Neuropsychologist

720 WILSHIRE BLVD STE 204
Santa Monica, CA 90401

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1962223230 (424) 345-6377

Providence Saint Johns Medical Foundation

1.1 mi

Specialist

2121 SANTA MONICA BLVD
Santa Monica, CA 90404

Reassigned Medicare billing, California enrollment
461 clinicians in this Medicare group

NPI 1770093734 (310) 582-7312

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139

This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.

235 services33 patients

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

162 services33 patients

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

65 services11 patients

Exam of neurobehavioral status, first hour 96116

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

35 services35 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

34 services33 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes 96138

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

34 services33 patients

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.

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