SHULLY SALMAN PSYD A PSYCHOLOGICAL CORP
NPI 1619412194
Psychologist - Clinical in Valley Village, CA

Q: What is Shully Salman Psyd A Psychological Corp's specialty?

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

Active since December 20, 2016

12301 CALIFA ST, VALLEY VILLAGE, CA 91607(310) 500-5193 Get Directions Write a Review

NPPES record last updated: January 2, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2019, Dec 20, 2016 (2 updates tracked since 2016).

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About Shully Salman Psyd A Psychological Corp NPPES

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

SHULLY SALMAN PSYD A PSYCHOLOGICAL CORP (NPI 1619412194) is a healthcare organization registered as a clinical in Valley Village, California and active in the NPI registry since December 2016. The organization lists Shully Salman, Owner, Psyd, as its authorized official.

NPPES Registry Identity

NPI1619412194

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSHULLY SALMAN PSYD A PSYCHOLOGICAL CORP

Location Address12301 CALIFA STValley Village, CA 91607-1106

Mailing Address12301 Califa StValley Village, CA 91607-1106 · (310) 500-5193

Phone(310) 500-5193

Organization SubpartNo

Authorized OfficialShully SalmanOwner, Psyd · (310) 500-5193

Enumeration DateDecember 20, 2016

Last NPPES UpdateJanuary 2, 20192 updates tracked since enumeration

✔ NPI 1619412194 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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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shully Salman Psyd A Psychological Corp 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 Shully Salman Psyd A Psychological Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shully Salman

Clinical Psychologist

NPI 1558695049

12301 CALIFA ST
Valley Village, CA 91607

(310) 500-5193

✔ PECOS✔ Accepts MedicareSame address

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 Shully Salman Psyd A Psychological Corp's NPI number?

The NPI number for Shully Salman Psyd A Psychological Corp is 1619412194. It was assigned to this organization in the NPPES registry on December 20, 2016.

Where is Shully Salman Psyd A Psychological Corp located?

Shully Salman Psyd A Psychological Corp is located at 12301 Califa St, Valley Village, CA 91607. The listed phone number is (310) 500-5193.

What is Shully Salman Psyd A Psychological Corp's specialty?

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

Is Shully Salman Psyd A Psychological Corp enrolled in Medicare?

Yes. Shully Salman Psyd A Psychological Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shully Salman Psyd A Psychological Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Shully Salman Psyd A Psychological Corp. 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 Shully Salman Psyd A Psychological Corp was last updated on January 2, 2019. 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.