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ELENA BALASHOVA-SHAMIS PSYD
NPI 1740705367
Psychologist - Clinical in Marina Del Rey, CA

Active since August 04, 2017PECOS Enrolled
4712 ADMIRALTY WAY STE 591, MARINA DEL REY, CA 90292(310) 850-1699 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2023, Aug 4, 2017 (2 updates tracked since 2017).

About Elena Balashova-shamis Psyd NPPES

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

ELENA BALASHOVA-SHAMIS PSYD (NPI 1740705367) is an individual clinical provider in Marina Del Rey, California, licensed in California (PSY20104) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740705367
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameELENA BALASHOVA-SHAMISCredential: PSYD
Location Address4712 ADMIRALTY WAY STE 591Marina Del Rey, CA 90292-6905
Mailing AddressPo Box 12212Marina Del Rey, CA 90295-3212 · (310) 486-0404
Phone(310) 850-1699
Sole ProprietorYes
Enumeration DateAugust 4, 2017
Last NPPES UpdateJanuary 12, 20232 updates tracked since enumeration
NPPES CertifiedDecember 12, 2022
✔ NPI 1740705367 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 · PSY20104
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.
4712 ADMIRALTY WAY STE 591, Marina Del Rey, CA 90292
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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 (PECOS)

Elena Balashova-shamis Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90292 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

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

AMERICAN PSYCHOLOGICAL CORPORATION, INC.
Psychologist (Clinical)
4712 ADMIRALTY WAY STE 591
MARINA DEL REY, CA 90292
Los Angeles County (310) 850-1699

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 Elena Balashova-shamis's NPI number?

The NPI number for Elena Balashova-shamis is 1740705367. It was assigned to this individual provider in the NPPES registry on August 4, 2017.

Where is Elena Balashova-shamis located?

Elena Balashova-shamis practices at 4712 Admiralty Way Ste 591, Marina Del Rey, CA 90292. The listed phone number is (310) 850-1699.

What is Elena Balashova-shamis's specialty?

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

Is Elena Balashova-shamis enrolled in Medicare?

Yes. Elena Balashova-shamis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elena Balashova-shamis was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.