STELLA PANOS PHD A PROFESSIONAL PSYCHOLOGY CORPORATION
NPI 1962223230
Clinical Neuropsychologist in Santa Monica, CA

Active since October 21, 2024
720 WILSHIRE BLVD STE 204, SANTA MONICA, CA 90401(424) 345-6377 Get Directions Write a Review

NPPES record last updated: October 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stella Panos Phd A Professional Psychology Corporation NPPES

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

STELLA PANOS PHD A PROFESSIONAL PSYCHOLOGY CORPORATION (NPI 1962223230) is a healthcare organization registered as a clinical neuropsychologist in Santa Monica, California and active in the NPI registry since October 2024. The organization lists Stella Panos, President, as its authorized official.

NPPES Registry Identity

NPI1962223230
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameSTELLA PANOS PHD A PROFESSIONAL PSYCHOLOGY CORPORATION
Location Address720 WILSHIRE BLVD STE 204Santa Monica, CA 90401-1737
Mailing Address720 Wilshire Blvd Ste 204Santa Monica, CA 90401-1737 · (424) 345-6377 · Fax (800) 387-6076
Organization SubpartNo
Authorized OfficialStella PanosPresident · (424) 345-6377
Enumeration DateOctober 21, 2024
Last NPPES UpdateOctober 26, 2025
NPPES CertifiedOctober 26, 2025
✔ NPI 1962223230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
720 WILSHIRE BLVD STE 204, Santa Monica, CA 90401

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Stella Panos Phd A Professional Psychology Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Stella Panos Phd A Professional Psychology Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Psychologist
NPI 1104252352
720 WILSHIRE BLVD STE 204
Santa Monica, CA 90401
(424) 345-6377
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1285099424
507 SAN CLEMENTE ST
Ventura, CA 93001
(805) 261-9186
✔ PECOS48 mi

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 Stella Panos Phd A Professional Psychology Corporation's NPI number?

The NPI number for Stella Panos Phd A Professional Psychology Corporation is 1962223230. It was assigned to this organization in the NPPES registry on October 21, 2024.

Where is Stella Panos Phd A Professional Psychology Corporation located?

Stella Panos Phd A Professional Psychology Corporation is located at 720 Wilshire Blvd Ste 204, Santa Monica, CA 90401. The listed phone number is (424) 345-6377.

What is Stella Panos Phd A Professional Psychology Corporation's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Stella Panos Phd A Professional Psychology Corporation enrolled in Medicare?

Yes. Stella Panos Phd A Professional Psychology Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stella Panos Phd A Professional Psychology Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Stella Panos Phd A Professional Psychology Corporation. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stella Panos Phd A Professional Psychology Corporation was last updated on October 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.