Individual provider Active NPI

Sharyl Cavellier, LMFT

  • Marriage & Family Therapist
  • San Marcos, CA
National Provider Identifier
1588488399
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
150849 Issued in CA
Practice address
678 Richland View CT
San Marcos, CA 92069-9660
Phone
(760) 496-8759
NPI assigned
Nov 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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 150849 CA Primary

Addresses

Primary practice location

678 Richland View CT
San Marcos, CA 92069-9660

Mailing address

678 Richland View CT
San Marcos, CA 92069-9660
Phone (760) 496-8759

Other practice location 1

3636 4th Ave Ste 304
San Diego, CA 92103-4294
Phone (760) 496-8759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218000759 CA Practitioner - Marriage and Family Therapist 6507393311 Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3636 4TH Ave
Suite 304
San Diego, CA 92103-4294
Phone (858) 481-8827

678 Richland View CT
San Marcos, CA 92069-9660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150849CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Help Administrative Services Inc CurrentSince Jun 1, 2026 Accepting new patients

Locations

3223 Blume Dr
Richmond, CA 94806

3636 4th Ave
Ste 304
San Diego, CA 92103
Phone (760) 799-1000

3111 Camino del Rio N
Ste 400
San Diego, CA 92108
Phone (858) 244-5176

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": "1731110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1588488399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 RICHLAND VIEW CT",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920699660",
            "telephone_number": "760-496-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 RICHLAND VIEW CT",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920699660",
            "telephone_number": "760-496-8759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3636 4th Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921034294",
            "country_code": "US",
            "telephone_number": "760-496-8759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVELLIER",
        "first_name": "SHARYL",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-09",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "150849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

Verify at the official NPI Registry.