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SHEA PROPHET
NPI 1730641408
Marriage & Family Therapist in San Diego, CA

Active since April 02, 2019
318 4TH AVE, SAN DIEGO, CA 91910(619) 952-6308 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2026, Nov 9, 2020, Apr 2, 2019 (3 updates tracked since 2019).

About Shea Prophet NPPES

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

SHEA PROPHET (NPI 1730641408) is an individual marriage & family therapist in San Diego, California, licensed in California (121696) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1730641408
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameSHEA PROPHET
Location Address318 4TH AVESan Diego, CA 91910
Mailing Address1315 Hillcrest DrAlpine, CA 91901-1603 · (915) 549-2339
Phone(619) 952-6308
Sole ProprietorNo
Enumeration DateApril 2, 2019
Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1730641408 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 · 121696
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.
318 4TH AVE, San Diego, CA 91910
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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.

CASSIDY MAYER BSN, RN
Registered Nurse (Psychiatric/Mental Health)
318 4TH AVE
CHULA VISTA, CA 91910
San Diego County (619) 420-3620
BRANDON JAFET PINTOR MARTINEZ
Social Worker (Clinical)
318 4TH AVE
CHULA VISTA, CA 91910
San Diego County (619) 420-3620
MARTHA LILIAN VILLARREAL
Day Training/Habilitation Specialist
318 4TH AVE
CHULA VISTA, CA 91910
San Diego County (619) 361-9842
NICOLE BALLEZ
Marriage & Family Therapist
318 4TH AVE
CHULA VISTA, CA 91910
San Diego County (619) 517-6012
ANDREA JISELLY MUNOZ
Day Training/Habilitation Specialist
318 4TH AVE
CHULA VISTA, CA 91910
San Diego County (619) 420-3620
ALICIA PUENTES
Day Training/Habilitation Specialist
318 4TH AVE
CHULA VISTA, CA 91910
San Diego County (619) 952-6343
SBCS
Case Manager/Care Coordinator
318 4TH AVE
CHULA VISTA, CA 91910
San Diego County (619) 420-3620
PAMELA YEZARELA ELGUEZABAL
Student in an Organized Health Care Education/Training Program
318 4TH AVE
CHULA VISTA, CA 91910
San Diego County (619) 997-6851

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 Shea Prophet's NPI number?

The NPI number for Shea Prophet is 1730641408. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Shea Prophet located?

Shea Prophet practices at 318 4th Ave, San Diego, CA 91910. The listed phone number is (619) 952-6308.

What is Shea Prophet's specialty?

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

When was this NPI record last updated?

The NPPES record for Shea Prophet was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.