SHANGRI-LA PSYCHOLOGICAL
NPI 1811780810
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fort Washington, PA
About Shangri-la Psychological NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANGRI-LA PSYCHOLOGICAL (NPI 1811780810) is a healthcare organization registered as a mental health (including community mental health center) in Fort Washington, Pennsylvania and active in the NPI registry since May 2025. The organization lists Dawn Debrocco, Owner/clinical Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shangri-la Psychological 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 Shangri-La Psychological, which bills Medicare for the services this clinician delivers.
Clinician (1)
Fort Washington, PA 19034
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 Shangri-La Psychological's NPI number?
The NPI number for Shangri-La Psychological is 1811780810. It was assigned to this organization in the NPPES registry on May 23, 2025.
Where is Shangri-La Psychological located?
Shangri-La Psychological is located at 500 Office Center Dr Ste 400, Fort Washington, PA 19034. The listed phone number is (215) 690-1254.
What is Shangri-La Psychological's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Shangri-La Psychological enrolled in Medicare?
Yes. Shangri-La Psychological is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shangri-La Psychological?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Shangri-La Psychological. 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 Shangri-La Psychological was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Shangri-La Psychological · NPI 1811780810
Mental Health (Including Community Mental Health Center) organization in Fort Washington, Pennsylvania. Organization record, active in the CMS NPPES registry since May 23, 2025.
## Identity
- **NPI:** 1811780810 (Entity type: Organization)
- **Enumerated:** May 23, 2025
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Dawn Debrocco, OWNER/CLINICAL PSYCHOLOGIST
## Practice location
- **Address:** 500 OFFICE CENTER DR STE 400, Fort Washington, PA 19034-3234
- **Phone:** (215) 690-1254
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1811780810) · Data from the CMS NPPES public registry.