Shannel Helen Kassis Elhelou, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

35236 Issued in CA

Practice address

1301 20TH St Ste 150
Santa Monica, CA 90404-2050

Phone

(310) 582-7641

NPI assigned

Dec 2, 2024

Last updated

Dec 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Providence Saint Johns Medical FoundationGroup PAC ID 0840548624, 282 clinicians

Judith Leone-Friedman Psy D a Psychological CorporationGroup PAC ID 0840427456, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Judith Leone-Friedman Psy D a Psychological Corporation

  • Clinical Neuropsychologist
  • Calabasas, CA
  • NPI 1306278643
  Medicare reassignment Care Compare group NPD
• Providence Saint Johns Medical Foundation

  dba Saint John's Physician Partners

  • Specialist
  • Santa Monica, CA
  • NPI 1770093734
  Medicare reassignment Care Compare group NPD
• Brain Centric Neuropsychology

  • Clinical Neuropsychologist
  • Westlake Village, CA
  • NPI 1609756972
  NPD Authorized official
• Edith a Cooke PSYD Psychologist Inc

  • Clinical Psychologist
  • Calabasas, CA
  • NPI 1952130569
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1306662697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12791 LONE TRAIL CT",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211168",
            "telephone_number": "818-800-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 150",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042050",
            "telephone_number": "310-582-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHELOU",
        "first_name": "SHANNEL",
        "middle_name": "HELEN KASSIS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "35236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kisha Lawson Elder, NP
• Daniel G. Eldredge, M.F.T.
• Matthew Lockwood Eldridge, NP
• Earlyn Ancheta Eleria
• Shadi Elghobary
• Margaret Elias, M.F.T.
• Eliot Siegel MD Inc
• Elisa Seidner Otr Inc. (KidAbilities)
• Elisabeth Finnerty, a Professional Corporation (The Launch Station)
• Christine Marie Elisabeth, PSY.D

• Clinical Neuropsychologist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.