Active NPI
Stella Panos PHD a Professional Psychology Corporation
- Clinical Neuropsychologist
- Santa Monica, CA
National Provider Identifier
1962223230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- STELLA PANOS PHD A PROFESSIONAL PSYCHOLOGY CORPORATION
- Practice address
- 720 Wilshire Blvd Ste 204
Santa Monica, CA 90401-1737 - Phone
- (424) 345-6377
- NPI assigned
- Oct 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stella Panos, PHD
- Title
- President
- Phone
- (424) 345-6377
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Primary | ||
| Clinical Psychologist | 103TC0700X |
Addresses
Primary practice location
720 Wilshire Blvd Ste 204
Santa Monica, CA 90401-1737
Mailing address
720 Wilshire Blvd Ste 204
Santa Monica, CA 90401-1737
Phone (424) 345-6377
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | StellaPanosPhD.StellaPanos@160226.advancedmd-direct.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- stellapanosphd.stellapanos@160226.advancedmd-direct.com
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- Santa Monica, CA
- NPI 1104252352
-
- Clinical Neuropsychologist
- Ventura, CA
- NPI 1285099424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761436800000",
"number": "1962223230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 WILSHIRE BLVD STE 204",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904011737",
"telephone_number": "424-345-6377",
"fax_number": "800-387-6076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 WILSHIRE BLVD STE 204",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904011737",
"telephone_number": "424-345-6377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STELLA PANOS PHD A PROFESSIONAL PSYCHOLOGY CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-21",
"last_updated": "2025-10-26",
"certification_date": "2025-10-26",
"status": "A",
"authorized_official_last_name": "PANOS",
"authorized_official_first_name": "STELLA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "424-345-6377",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "StellaPanosPhD.StellaPanos@160226.advancedmd-direct.com",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "720 Wilshire Blvd Ste 204",
"city": "Santa Monica",
"state": "CA",
"country_code": "US",
"postal_code": "904011737",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.