JILL SHALAN, PHD, PLLC
NPI 1235646316
Psychologist - Clinical in West Hartford, CT
About Jill Shalan, Phd, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JILL SHALAN, PHD, PLLC (NPI 1235646316) is a healthcare organization registered as a clinical in West Hartford, Connecticut and active in the NPI registry since January 2018. The organization lists Jill Shalan, Owner/member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jill Shalan, Phd, Pllc 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 Jill Shalan, Phd, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Jill Shalan, Phd, PLLC's NPI number?
The NPI number for Jill Shalan, Phd, PLLC is 1235646316. It was assigned to this organization in the NPPES registry on January 10, 2018.
Where is Jill Shalan, Phd, PLLC located?
Jill Shalan, Phd, PLLC is located at 68 S Main St, West Hartford, CT 06107. The listed phone number is (860) 335-3345.
What is Jill Shalan, Phd, PLLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Jill Shalan, Phd, PLLC enrolled in Medicare?
Yes. Jill Shalan, Phd, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jill Shalan, Phd, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Jill Shalan, Phd, PLLC. 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 Jill Shalan, Phd, PLLC was last updated on January 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Jill Shalan, Phd, Pllc · NPI 1235646316
Clinical organization in West Hartford, Connecticut. Organization record, active in the CMS NPPES registry since January 10, 2018.
## Identity
- **NPI:** 1235646316 (Entity type: Organization)
- **Enumerated:** January 10, 2018
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Jill Shalan, OWNER/MEMBER
## Practice location
- **Address:** 68 S MAIN ST, West Hartford, CT 06107-2445
- **Phone:** (860) 335-3345 · **Fax:** (860) 561-6184
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 10, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1235646316) · Data from the CMS NPPES public registry.