DR. ROXANNE PRILUTSKY PH.D.
NPI 1790809499
Psychologist - Clinical in Burbank, CA
About Dr. Roxanne Prilutsky Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ROXANNE PRILUTSKY PH.D. (NPI 1790809499) is an individual clinical provider in Burbank, California, licensed in California (PSY25879) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Roxanne Prilutsky Ph.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.
Medicare Billing Reassignment
Medicare enrollment records show Roxanne Prilutsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pasadena, CA 91105
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Roxanne Prilutsky Phd A Psychology Corporation
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 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BURBANK, CA 91502
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 Roxanne Prilutsky's NPI number?
The NPI number for Roxanne Prilutsky is 1790809499. It was assigned to this individual provider in the NPPES registry on March 19, 2007.
Where is Roxanne Prilutsky located?
Roxanne Prilutsky practices at 1201 S Victory Blvd Ste 206, Burbank, CA 91502. The listed phone number is (626) 765-3518.
What is Roxanne Prilutsky's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Roxanne Prilutsky enrolled in Medicare?
Yes. Roxanne Prilutsky 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 Roxanne Prilutsky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roxanne Prilutsky reassigns Medicare benefits to Roxanne Prilutsky, Ph.D., A Psychology Corporation (Pasadena, CA). 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 Roxanne Prilutsky'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 Roxanne Prilutsky was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Dr. Roxanne Prilutsky, PH.D. · NPI 1790809499
Clinical provider in Burbank, California. Individual provider, active in the CMS NPPES registry since March 19, 2007.
## Identity
- **NPI:** 1790809499 (Entity type: Individual)
- **Enumerated:** March 19, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY25879 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1201 S VICTORY BLVD STE 206, Burbank, CA 91502-2793
- **Phone:** (626) 765-3518 · **Fax:** (626) 765-3532
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Roxanne Prilutsky, Ph.D., A Psychology Corporation (NPI 1215365747, Pasadena, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** February 4, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1790809499) · Data from the CMS NPPES public registry.