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ZACHARY SHATTUCK
NPI 1124757984
Counselor in San Diego, CA

Active since June 07, 2022
3132 JEFFERSON ST, SAN DIEGO, CA 92110(619) 683-3100 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Zachary Shattuck NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZACHARY SHATTUCK (NPI 1124757984) is an individual counselor in San Diego, California and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1124757984
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameZACHARY SHATTUCK
Location Address3132 JEFFERSON STSan Diego, CA 92110-4421
Mailing Address3132 Jefferson StSan Diego, CA 92110-4421 · (619) 683-3100
Phone(619) 683-3100
Sole ProprietorNo
Enumeration DateJune 7, 2022
NPPES CertifiedJune 7, 2022
✔ NPI 1124757984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3132 JEFFERSON ST, San Diego, CA 92110
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Other Names 1

Former Name (1)Kelsey Shattuck

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ISRAEL Q LIM
Licensed Vocational Nurse
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
RICHARD REASON
Case Manager/Care Coordinator
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
ANTONETTE ROBINSON
Counselor
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
JESSICA GARDNER
Case Manager/Care Coordinator
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
SADIA YUSUF
Counselor
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 318-0518
CLAIRE ELIZABETH WHITE BACHELOR OF SCIENCE
Case Manager/Care Coordinator
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
GABRIELA BERENICE RIVERA RUIZ
Counselor
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100
SARA ASHLYN GOULD
Social Worker (Clinical)
3132 JEFFERSON ST
SAN DIEGO, CA 92110
San Diego County (619) 683-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zachary Shattuck's NPI number?

The NPI number for Zachary Shattuck is 1124757984. It was assigned to this individual provider in the NPPES registry on June 7, 2022. The provider is also known as Kelsey Shattuck.

Where is Zachary Shattuck located?

Zachary Shattuck practices at 3132 Jefferson St, San Diego, CA 92110. The listed phone number is (619) 683-3100.

What is Zachary Shattuck's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Zachary Shattuck was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.