DR. SHANNEL HELEN KASSIS ELHELOU PSY.D. - NPI 1306662697 - Clinical Neuropsychologist in Santa Monica, CA

Q: What is the provider's specialty?

The provider's specialty is Clinical Neuropsychologist with taxonomy code 103G00000X.

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About Dr. Shannel Helen Kassis Elhelou Psy.d. NPPES

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

DR. SHANNEL HELEN KASSIS ELHELOU PSY.D. (NPI 1306662697) is an individual clinical neuropsychologist in Santa Monica, California, licensed in California (35236) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1306662697

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. SHANNEL HELEN KASSIS ELHELOUCredential: PSY.D.

Location Address1301 20TH ST STE 150Santa Monica, CA 90404-2050

Mailing Address12791 Lone Trail CtMoorpark, CA 93021-1168 · (818) 800-0514

Phone(310) 582-7641

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 2, 2024

NPPES CertifiedDecember 2, 2024

✔ NPI 1306662697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CA · 35236

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.

1301 20TH ST STE 150, Santa Monica, CA 90404

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shannel Helen Kassis Elhelou Psy.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 ID4183151913

PECOS Enrollment IDI20241218001506

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.