SHAYDA EWALT LMFT
NPI 1689238537
Marriage & Family Therapist in San Diego, CA

Q: What is Shayda Ewalt's NPI number?

The NPI number for Shayda Ewalt is 1689238537. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Q: What is Shayda Ewalt's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Shayda Ewalt enrolled in Medicare?

No. Shayda Ewalt has opted out of Medicare through May 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Shayda Ewalt was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 25, 2019Opted out of Medicare · through May 9, 2028

11838 BERNARDO PLAZA CT STE 250, SAN DIEGO, CA 92128(858) 726-5957 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, Apr 25, 2019 (2 updates tracked since 2019).

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About Shayda Ewalt Lmft NPPES

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

SHAYDA EWALT LMFT (NPI 1689238537) is an individual marriage & family therapist in San Diego, California, licensed in California (107869) and active in the NPI registry since April 2019. She has opted out of Medicare through May 9, 2028.

NPPES Registry Identity

NPI1689238537

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSHAYDA EWALTCredential: LMFT

Location Address11838 BERNARDO PLAZA CT STE 250San Diego, CA 92128-2434

Mailing Address11838 Bernardo Plaza Ct Ste 250San Diego, CA 92128-2434

Phone(858) 726-5957

Sole ProprietorNo

Enumeration DateApril 25, 2019

Last NPPES UpdateJune 11, 20192 updates tracked since enumeration

✔ NPI 1689238537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 107869

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

11838 BERNARDO PLAZA CT STE 250, San Diego, CA 92128

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Other Identifiers 1

Other107869CA · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Shayda Ewalt Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 9, 2024 through May 9, 2028.

Opt-Out Effective DateMay 9, 2024

Opt-Out In Effect ThroughMay 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 10

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

KELLEY FLANAGAN LPCC

Counselor (Mental Health)