Active NPI
Shaylyn Miller, LMFT
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1619633096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 146200
- Practice address
- 5694 Mission Center Rd. Ste.602
PMB. 475
San Diego, CA 92108 - Phone
- (619) 800-6170
- NPI assigned
- Nov 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 146200 | CA | Primary |
Addresses
Primary practice location
5694 Mission Center Rd. Ste.602
PMB. 475
San Diego, CA 92108
Mailing address
5694 Mission Center Rd. Ste.602
PMB. 475
San Diego, CA 92108
Phone (619) 800-6170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146200 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1619633096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5694 MISSION CENTER RD. STE.602",
"address_2": "PMB. 475",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "619-800-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5694 MISSION CENTER RD. STE.602",
"address_2": "PMB. 475",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "619-800-6170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SHAYLYN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-10",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "146200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.