Shully Salman, - Medicare Psychologist in Valley Village, CA

Shully Salman, is a medicare enrolled "Psychologist - Clinical" provider in Valley Village, California. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 12301 Califa St, Valley Village, California. You can reach out to his office (for appointments etc.) via phone at (310) 500-5193.

Shully Salman is licensed to practice in California (license number 27314) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558695049.

Contact Information

Shully Salman,
12301 Califa St,
Valley Village, CA 91607-1106
(310) 500-5193
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShully Salman
GenderMale
SpecialityClinical Psychologist
Experience12 Years
Location12301 Califa St, Valley Village, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shully Salman graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1558695049
  • Provider Enumeration Date: 09/30/2009
  • Last Update Date: 11/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6406162650
  • Enrollment ID: I20160321001264

Medical Identifiers

Medical identifiers for Shully Salman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558695049NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 27314 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shully Salman allows following entities to bill medicare on his behalf.
Entity NameFoothills Psychological Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336121888
PECOS PAC ID: 9436157534
Enrollment ID: O20100318000835
Entity NameChange Within Reach Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003207002
PECOS PAC ID: 2062723810
Enrollment ID: O20150619000776
Entity NameShully Salman Psyd A Psychological Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619412194
PECOS PAC ID: 1153604640
Enrollment ID: O20170207002198

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. Shully Salman 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
Shully Salman,
12301 Califa St,
Valley Village, CA 91607-1106

Ph: (310) 500-5193
Shully Salman,
12301 Califa St,
Valley Village, CA 91607-1106

Ph: (310) 500-5193

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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