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DR. IRIS MARCELA RAYO DE SELIKTAR PH.D.
NPI 1275896995
Psychologist - Clinical in Pacoima, CA

Active since June 18, 2012PECOS EnrolledAccepts Medicare Assignment
12450 VAN NUYS BLVD, SUITE 200, PACOIMA, CA 91331(818) 896-1161(818) 896-5069 Get Directions Write a Review

NPPES record last updated: September 2, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Iris Marcela Rayo De Seliktar Ph.d. NPPES

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

DR. IRIS MARCELA RAYO DE SELIKTAR PH.D. (NPI 1275896995) is an individual clinical provider in Pacoima, California, licensed in California (27468) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1275896995
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. IRIS MARCELA RAYO DE SELIKTARCredential: PH.D.
Location Address12450 VAN NUYS BLVD, SUITE 200Pacoima, CA 91331-1391
Mailing Address12450 Van Nuys Blvd, Suite 200Pacoima, CA 91331-1391 · (818) 896-1161 · Fax (818) 896-5069
Phone(818) 896-1161
Fax(818) 896-5069
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 18, 2012
Last NPPES UpdateSeptember 2, 2015
✔ NPI 1275896995 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 · 27468
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.
12450 VAN NUYS BLVD, Pacoima, CA 91331
Open in Google Maps ↗

Other Identifiers 3

Medicaid7420CA
Medicaid6758CA
Medicaid7068CA

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. Iris Marcela Rayo De Seliktar 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 ID4880902386
PECOS Enrollment IDI20151002001248
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 Reassignment

Medicare enrollment records show Iris Rayo De Seliktar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ehab Yacoub MD Inc.
30 mi
Child & Adolescent Psychiatry
1225 W 190TH ST STE 280
Gardena, CA 90248
  • Reassigned Medicare billing, California enrollment
  • 375 clinicians in this Medicare group
NPI 1417373713 (310) 515-8113

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91331 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.

CESAR FRANCO
Case Manager/Care Coordinator
12450 VAN NUYS BLVD, SUITE 200
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
MRS. SUE NOVACK SORENSEN LCSW
Social Worker (Clinical)
12450 VAN NUYS BLVD, 100
PACOIMA, CA 91331
Los Angeles County (818) 896-8366
VALENTINA USUBYAN
Counselor (Mental Health)
12450 VAN NUYS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
MARIA DIAZ
Peer Specialist
12450 VAN NUYS BLVD, 200
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
MR. VERNON WOLF WINDELL MFT
Marriage & Family Therapist
12450 VAN NUYS BLVD, SUITE 200
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
ELENA KARENEV
Counselor (Mental Health)
12450 VAN NUYS BLVD, SUITE 200
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
ELANI TUCHMAN M.A.
Psychologist (Clinical)
12450 VAN NUYS BLVD, SUITE 200
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
SAM MAVIS
Student in an Organized Health Care Education/Training Program
12450 VAN NUYS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 896-1161

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 Iris Rayo De Seliktar's NPI number?

The NPI number for Iris Rayo De Seliktar is 1275896995. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Iris Rayo De Seliktar located?

Iris Rayo De Seliktar practices at 12450 Van Nuys Blvd Suite 200, Pacoima, CA 91331. The listed phone number is (818) 896-1161.

What is Iris Rayo De Seliktar's specialty?

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

Is Iris Rayo De Seliktar enrolled in Medicare?

Yes. Iris Rayo De Seliktar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Iris Rayo De Seliktar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Iris Rayo De Seliktar reassigns Medicare benefits to Ehab Yacoub MD Inc. (Gardena, CA). The 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 Iris Rayo De Seliktar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Iris Rayo De Seliktar was last updated on September 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.