IndividualActive
Shantal Bridgewater
NPI 1124478557 · Marriage & Family Therapist · San Diego, CA
Provider details
- NPI number
- 1124478557
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 160415 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Other Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Po Box 710145
San Diego, CA 92171-0145
Phone: (619) 346-4020
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 710145
San Diego, CA 92171-0145
Registry dates
- Enumerated
- 2016-06-16
- Last updated
- 2026-02-05
- Certified
- 2026-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.