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DR. ROXANNE PRILUTSKY PH.D.
NPI 1790809499
Psychologist - Clinical in Burbank, CA

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment
1201 S VICTORY BLVD STE 206, BURBANK, CA 91502(626) 765-3518(626) 765-3532 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2026, Nov 11, 2025, Mar 11, 2025 (3 updates tracked since 2025).

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

NPI1790809499
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ROXANNE PRILUTSKYCredential: PH.D.
Location Address1201 S VICTORY BLVD STE 206Burbank, CA 91502-2793
Mailing Address1201 S Victory Blvd Ste 206Burbank, CA 91502-2793 · (818) 257-4801
Phone(626) 765-3518
Fax(626) 765-3532
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 19, 2007
Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1790809499 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 · PSY25879
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.
1201 S VICTORY BLVD STE 206, Burbank, CA 91502
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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 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.

PECOS PAC ID2961635131
PECOS Enrollment IDI20140424000926
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.

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.

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.
694 services36 patients
Evaluation of psychological test, each additional hour 96131
This service involves additional hours spent on assessing psychological tests. It helps to understand your mental health better, identifying any potential issues or disorders. It's a crucial step in creating an effective treatment plan.
425 services26 patients
Evaluation of psychological test, first hour 96130
This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.
62 services26 patients
Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
55 services21 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.
29 services17 patients

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.

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 18

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

RACHEL DOUGLAS
Marriage & Family Therapist
1201 S VICTORY BLVD STE 206
BURBANK, CA 91502
Los Angeles County (310) 853-3638
SOMIN KIM
Marriage & Family Therapist
1201 S VICTORY BLVD STE 206
BURBANK, CA 91502
Los Angeles County (818) 639-3003
MAKENNA FERGUSON
Marriage & Family Therapist
1201 S VICTORY BLVD STE 206
BURBANK, CA 91502
Los Angeles County (747) 271-2701
NIOUSHA SOLEIMANI
Marriage & Family Therapist
1201 S VICTORY BLVD STE 206
BURBANK, CA 91502
Los Angeles County (310) 853-3638
CHARLETT SHAW
Counselor (Mental Health)
1201 S VICTORY BLVD STE 206
BURBANK, CA 91502
Los Angeles County (310) 853-3638
MCKERRIN KELLY
Marriage & Family Therapist
1201 S VICTORY BLVD STE 206
BURBANK, CA 91502
Los Angeles County (747) 271-2701
DIANA ZURABIAN
Counselor (Mental Health)
1201 S VICTORY BLVD STE 206
BURBANK, CA 91502
Los Angeles County (737) 333-8391
HOPE HEALS MARRIAGE AND FAMILY THERAPY INC
Marriage & Family Therapist
1201 S VICTORY BLVD STE 206
BURBANK, CA 91502
Los Angeles County (818) 641-8670

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.

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 5 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.