Individual provider Active NPI

Shirla De Magalhaes, LMFT, RPT-S, RSP

  • Marriage & Family Therapist
  • La Mesa, CA
National Provider Identifier
1124341268
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
82947 Issued in CA
Practice address
8453 La Mesa Blvd
La Mesa, CA 91942-5382
Phone
(619) 797-6595
Fax
(888) 975-4199
NPI assigned
Mar 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 82947 CA Primary

Addresses

Primary practice location

8453 La Mesa Blvd
La Mesa, CA 91942-5382

Mailing address

8453 La Mesa Blvd
La Mesa, CA 91942-5382
Phone (619) 797-6595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 8, 2024 through Mar 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
82947CAMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sol Play Child Therapy, Inc CurrentSince Feb 1, 2022 Accepting new patients

Locations

8453 La Mesa Blvd
La Mesa, CA 91942
Phone (619) 797-6595

5811 Amaya Dr
Ste 204
La Mesa, CA 91942
Phone (619) 609-7597

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1124341268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8453 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919425382",
            "telephone_number": "619-797-6595",
            "fax_number": "888-975-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8453 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919425382",
            "telephone_number": "619-797-6595",
            "fax_number": "888-975-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MAGALHAES",
        "first_name": "SHIRLA",
        "credential": "LMFT, RPT-S, RSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "82947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.