FAMILY PSYCHOLOGICAL CLINIC INC
NPI 1265289300
Psychologist - Clinical in Valley Village, CA
About Family Psychological Clinic Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY PSYCHOLOGICAL CLINIC INC (NPI 1265289300) is a healthcare organization registered as a clinical in Valley Village, California and active in the NPI registry since May 2024. The organization lists Shully Salman, Owner, 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)
Family Psychological Clinic Inc 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 Family Psychological Clinic Inc, 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 Family Psychological Clinic Inc's NPI number?
The NPI number for Family Psychological Clinic Inc is 1265289300. It was assigned to this organization in the NPPES registry on May 6, 2024.
Where is Family Psychological Clinic Inc located?
Family Psychological Clinic Inc is located at 12301 Califa St, Valley Village, CA 91607. The listed phone number is (310) 500-5193.
What is Family Psychological Clinic Inc's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Family Psychological Clinic Inc enrolled in Medicare?
Yes. Family Psychological Clinic Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Psychological Clinic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Family Psychological Clinic Inc. 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 Family Psychological Clinic Inc was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Family Psychological Clinic Inc · NPI 1265289300
Clinical organization in Valley Village, California. Organization record, active in the CMS NPPES registry since May 6, 2024.
## Identity
- **NPI:** 1265289300 (Entity type: Organization)
- **Enumerated:** May 6, 2024
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Shully Salman, OWNER
## Practice location
- **Address:** 12301 CALIFA ST, Valley Village, CA 91607-1106
- **Phone:** (310) 500-5193
## 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:** May 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1265289300) · Data from the CMS NPPES public registry.