Dr Kiyanoosh Shamlou, PHD - Medicare Psychologist in Irvine, CA

Dr Kiyanoosh Shamlou, PHD is a medicare enrolled "Psychologist - Clinical" provider in Irvine, California. His current practice location is 4199 Campus Dr, Suite 550, Irvine, California. You can reach out to his office (for appointments etc.) via phone at (714) 585-5380.

Dr Kiyanoosh Shamlou is licensed to practice in California (license number PSY26074) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083036537.

Contact Information

Dr Kiyanoosh Shamlou, PHD
4199 Campus Dr, Suite 550,
Irvine, CA 92612-4684
(714) 585-5380
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Kiyanoosh Shamlou
GenderMale
SpecialityPsychologist - Clinical
Location4199 Campus Dr, Irvine, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083036537
  • Provider Enumeration Date: 01/16/2014
  • Last Update Date: 03/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1052548765
  • Enrollment ID: I20140714001420

Medical Identifiers

Medical identifiers for Dr Kiyanoosh Shamlou such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083036537NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling PSY26074 (California)Secondary
103TF0000XPsychologist - Family PSY26074 (California)Secondary
103TC0700XPsychologist - Clinical PSY26074 (California)Primary
103TP2701XPsychologist - Group Psychotherapy PSY 26074 (California)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kiyanoosh Shamlou is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kiyanoosh Shamlou, PHD
4199 Campus Dr, Suite 550,
Irvine, CA 92612-4684

Ph: (714) 585-5380
Dr Kiyanoosh Shamlou, PHD
4199 Campus Dr, Suite 550,
Irvine, CA 92612-4684

Ph: (714) 585-5380

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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