Active NPI
Shelly Royalty, PSYD
- Counseling Psychologist
- Carlsbad, CA
National Provider Identifier
1770880833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSY21020
- Practice address
- 325 Carlsbad Village Dr
Ste. F2
Carlsbad, CA 92008-2928 - Phone
- (760) 688-0110
- NPI assigned
- Feb 24, 2011
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PSY21020 | CA | Primary |
Addresses
Primary practice location
325 Carlsbad Village Dr
Ste. F2
Carlsbad, CA 92008-2928
Mailing address
325 Carlsbad Village Dr
Ste. F2
Carlsbad, CA 92008-2928
Phone (760) 688-0110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective May 14, 2013 through May 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1770880833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 CARLSBAD VILLAGE DR",
"address_2": "STE. F2",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920082928",
"telephone_number": "760-688-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 CARLSBAD VILLAGE DR",
"address_2": "STE. F2",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920082928",
"telephone_number": "760-688-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYALTY",
"first_name": "SHELLY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-24",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY21020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.