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SHULLY SALMAN
NPI 1558695049
Psychologist - Clinical in Valley Village, CA

Active since September 30, 2009PECOS EnrolledAccepts Medicare Assignment
12301 CALIFA ST, VALLEY VILLAGE, CA 91607(310) 500-5193 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2018, Jan 4, 2017, Feb 26, 2016 (3 updates tracked since 2016).

About Shully Salman NPPES

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

SHULLY SALMAN (NPI 1558695049) is an individual clinical provider in Valley Village, California, licensed in California (27314) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Encino, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1558695049
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameSHULLY SALMAN
Location Address12301 CALIFA STValley Village, CA 91607-1106
Mailing Address12301 Califa StValley Village, CA 91607-1106 · (310) 500-5193
Phone(310) 500-5193
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 30, 2009
Last NPPES UpdateNovember 14, 20183 updates tracked since enumeration
✔ NPI 1558695049 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 · 27314
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.
12301 CALIFA ST, Valley Village, CA 91607
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Secondary Practice Location 1

Location 116944 VENTURA BLVD, STE 22ENCINO, CA 91316-4161 · Phone (310) 500-5193

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

Shully Salman 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 ID6406162650
PECOS Enrollment IDI20160321001264
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 Reassignments

3

Medicare enrollment records show Shully Salman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shully Salman Psyd A Psychological Corp
Same address
Clinical
12301 CALIFA ST
Valley Village, CA 91607
  • Reassigned Medicare billing, California enrollment
NPI 1619412194 (310) 500-5193
Family Psychological Clinic Inc
Same address
Clinical
12301 CALIFA ST
Valley Village, CA 91607
  • Reassigned Medicare billing, California enrollment
NPI 1265289300 (310) 500-5193
Change Within Reach Inc
6.9 mi
Adult Mental Health
17777 VENTURA BLVD STE 105
Encino, CA 91316
  • Reassigned Medicare billing, California enrollment
  • 32 clinicians in this Medicare group
NPI 1003207002 (213) 445-2266

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
805 services33 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91607 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY PSYCHOLOGICAL CLINIC INC
Psychologist (Clinical)
12301 CALIFA ST
VALLEY VILLAGE, CA 91607
Los Angeles County (310) 500-5193
SHULLY SALMAN PSYD A PSYCHOLOGICAL CORP
Psychologist (Clinical)
12301 CALIFA ST
VALLEY VILLAGE, CA 91607
Los Angeles County (310) 500-5193

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 Shully Salman's NPI number?

The NPI number for Shully Salman is 1558695049. It was assigned to this individual provider in the NPPES registry on September 30, 2009.

Where is Shully Salman located?

Shully Salman practices at 12301 Califa St, Valley Village, CA 91607. The listed phone number is (310) 500-5193.

What is Shully Salman's specialty?

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

Is Shully Salman enrolled in Medicare?

Yes. Shully Salman 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 organizations bill Medicare for Shully Salman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shully Salman reassigns Medicare benefits to 3 organizations: Shully Salman Psyd A Psychological Corp (Valley Village, CA), Family Psychological Clinic Inc (Valley Village, CA) and Change Within Reach Inc (Encino, CA). Each 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 Shully Salman'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 Shully Salman was last updated on November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.