Roxanne Prilutsky, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY25879 Issued in CA

Practice address

1201 S Victory Blvd Ste 206
Burbank, CA 91502-2793

Phone

(626) 765-3518

Fax

(626) 765-3532

NPI assigned

Mar 19, 2007

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

• Roxanne Prilutsky, PH.D., a Psychology Corporation

  • Clinical Psychologist
  • Pasadena, CA
  • NPI 1215365747
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1790809499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S VICTORY BLVD STE 206",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022793",
            "telephone_number": "818-257-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S VICTORY BLVD STE 206",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022793",
            "telephone_number": "626-765-3518",
            "fax_number": "626-765-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRILUTSKY",
        "first_name": "ROXANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of California Medical PC
• Jordan Prendergast
• David Presby
• Prestige Home Care Services
• Pride Hospice Care Inc.
• Primary Critical Care Medical Group
• Primary Health Inc.
• Primary Home Care, Inc.
• Primary Home Health Services Inc.
• Primarycare Ortho Inc

• Clinical Psychologist in Burbank, CA
• Providers in Burbank, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.