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ROXANNE PRILUTSKY, PH.D., A PSYCHOLOGY CORPORATION
NPI 1215365747
Psychologist - Clinical in Pasadena, CA

Active since October 18, 2013
630 S RAYMOND AVE, SUITE 310, PASADENA, CA 91105(626) 765-3518(626) 765-3532 Get Directions Write a Review

NPPES record last updated: November 17, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Roxanne Prilutsky, Ph.d., A Psychology Corporation NPPES

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

ROXANNE PRILUTSKY, PH.D., A PSYCHOLOGY CORPORATION (NPI 1215365747) is a healthcare organization registered as a clinical in Pasadena, California and active in the NPI registry since October 2013. The organization lists Roxanne Prilutsky, President, as its authorized official.

NPPES Registry Identity

NPI1215365747
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameROXANNE PRILUTSKY, PH.D., A PSYCHOLOGY CORPORATION
Location Address630 S RAYMOND AVE, SUITE 310Pasadena, CA 91105-3278
Mailing Address835 E Magnolia BlvdBurbank, CA 91501-1311 · (818) 257-4801 · Fax (626) 765-3532
Phone(626) 765-3518
Fax(626) 765-3532
Organization SubpartNo
Authorized OfficialRoxanne PrilutskyPresident · (626) 765-3518
Enumeration DateOctober 18, 2013
Last NPPES UpdateNovember 17, 2013
✔ NPI 1215365747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY25879
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.
630 S RAYMOND AVE, Pasadena, CA 91105
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roxanne Prilutsky, Ph.d., A Psychology Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Roxanne Prilutsky, Ph.D., A Psychology Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Roxanne Prilutsky, PH.D.
Clinical Psychologist
NPI 1790809499
1201 S VICTORY BLVD STE 206
Burbank, CA 91502
(626) 765-3518
✔ PECOS✔ Accepts Medicare9.3 mi

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

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 Roxanne Prilutsky, Ph.D., A Psychology Corporation's NPI number?

The NPI number for Roxanne Prilutsky, Ph.D., A Psychology Corporation is 1215365747. It was assigned to this organization in the NPPES registry on October 18, 2013.

Where is Roxanne Prilutsky, Ph.D., A Psychology Corporation located?

Roxanne Prilutsky, Ph.D., A Psychology Corporation is located at 630 S Raymond Ave Suite 310, Pasadena, CA 91105. The listed phone number is (626) 765-3518.

What is Roxanne Prilutsky, Ph.D., A Psychology Corporation's specialty?

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

Is Roxanne Prilutsky, Ph.D., A Psychology Corporation enrolled in Medicare?

Yes. Roxanne Prilutsky, Ph.D., A Psychology Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roxanne Prilutsky, Ph.D., A Psychology Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Roxanne Prilutsky, Ph.D., A Psychology Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Roxanne Prilutsky, Ph.D., A Psychology Corporation was last updated on November 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.