TRAVIS MARTIN SHIVLEY-SCOTT PHD
NPI 1609445444
Clinical Neuropsychologist in Mather, CA
About Travis Martin Shivley-scott Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRAVIS MARTIN SHIVLEY-SCOTT PHD (NPI 1609445444) is an individual clinical neuropsychologist in Mather, California, licensed in California (32064) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Fordham University School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses 3
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
Travis Martin Shivley-scott Phd 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.
Medicare Billing Reassignment
Medicare enrollment records show Travis Shivley-scott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albuquerque, NM 87102
- Reassigned Medicare billing, New Mexico enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
MATHER, CA 95655
MATHER, CA 95655
MATHER, CA 95655
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 Travis Shivley-scott's NPI number?
The NPI number for Travis Shivley-scott is 1609445444. It was assigned to this individual provider in the NPPES registry on June 24, 2021.
Where is Travis Shivley-scott located?
Travis Shivley-scott practices at 10535 Hospital Way, Mather, CA 95655. The listed phone number is (916) 843-7515.
What is Travis Shivley-scott's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Travis Shivley-scott enrolled in Medicare?
Yes. Travis Shivley-scott 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 Travis Shivley-scott's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Travis Shivley-scott reassigns Medicare benefits to Brain And Behavioral Associates, PC (Albuquerque, NM). 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 Travis Shivley-scott'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 Travis Shivley-scott was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.
# Travis Martin Shivley-Scott, PHD · NPI 1609445444
Clinical Neuropsychologist provider in Mather, California. Individual provider, active in the CMS NPPES registry since June 24, 2021.
## Identity
- **NPI:** 1609445444 (Entity type: Individual)
- **Enumerated:** June 24, 2021
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **State license:** 32064 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10535 HOSPITAL WAY, Mather, CA 95655-4200
- **Phone:** (916) 843-7515
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Brain And Behavioral Associates, PC (NPI 1467747477, Albuquerque, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Fordham University School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** October 13, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1609445444) · Data from the CMS NPPES public registry.