MS. CARLY SHAUL MS
NPI 1962171025
Marriage & Family Therapist in San Diego, CA

Q: What is Carly Shaul's NPI number?

The NPI number for Carly Shaul is 1962171025. It was assigned to this individual provider in the NPPES registry on September 10, 2021.

Q: What is Carly Shaul's specialty?

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

Q: Is Carly Shaul enrolled in Medicare?

No. Carly Shaul has opted out of Medicare through January 1, 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 Carly Shaul was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 September 10, 2021Opted out of Medicare · through Jan 1, 2028

11590 W BERNARDO CT STE 230, SAN DIEGO, CA 92127(619) 733-6414 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Ms. Carly Shaul Ms NPPES

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

MS. CARLY SHAUL MS (NPI 1962171025) is an individual marriage & family therapist in San Diego, California and active in the NPI registry since September 2021. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1962171025

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. CARLY SHAULCredential: MS

Location Address11590 W BERNARDO CT STE 230San Diego, CA 92127-1624

Mailing AddressPo Box 2050Alpine, CA 91903-2050

Phone(619) 733-6414

Sole ProprietorNo

Enumeration DateSeptember 10, 2021

NPPES CertifiedSeptember 10, 2021

✔ NPI 1962171025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

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.

11590 W BERNARDO CT STE 230, San Diego, CA 92127

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Carly Shaul Ms 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

PATHWAYS FAMILY COUNSELING PROFESSIONAL CORPORATION

Marriage & Family Therapist