Individual provider Active NPI

Saundra J Lewis, PH.D.

  • Clinical Psychologist
  • San Antonio, TX
National Provider Identifier
1023032281
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
23465 Issued in TX
Practice address
7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4801
Phone
(361) 649-0395
NPI assigned
Jul 27, 2006
Last updated
Apr 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 23465 TX Primary

Addresses

Primary practice location

7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4801

Mailing address

7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4801
Phone (361) 649-0395

Other identifiers 4

IdentifierTypeStateIssuer
0408510-01MedicaidTX
0408528-01MedicaidTX
8K3828OtherTXDOMHA MCR
82760POtherTXOLD DOMHA MCR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IA, SC, OH4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20080318000421 TX Practitioner - Clinical Psychologist 9234215146 Reassigns benefits to 1 organization
I20220916001542 IA Practitioner - Clinical Psychologist 9234215146 Reassigns benefits to 1 organization
I20230119000576 SC Practitioner - Clinical Psychologist 9234215146 Reassigns benefits to 1 organization
I20240620003494 OH Practitioner - Clinical Psychologist 9234215146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deer Oaks Mental Health Associates PCGroup PAC ID 2264337013, 55 clinicians
Deer Oaks Geriatric Services P CGroup PAC ID 9234034075, 45 clinicians

Practice addresses (Care Compare)

407 S E Ave
Baxter, IA 50028-1013
Phone (641) 227-3602

4850 Meadowsweet Dr
Apt 1712
Myrtle Beach, SC 29579-6638
Phone (888) 365-6271

5200 Marymount Village Dr
Garfield Heights, OH 44125-2973
Phone (888) 365-6271

701 N Sarah Dewitt Dr
Gonzales, TX 78629-2813
Phone (210) 615-3460

7272 Wurzbach Rd
San Antonio, TX 78240-4803
Phone (210) 615-3483

Merit-based Incentive Payment System (MIPS)

Final score
91.16 of 100Reported as group
Quality
80.99
Improvement activities
40
Cost
72.05

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as group
Quality
83.48
Improvement activities
40
Cost
67.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
23465TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Geriatric Services P C Clinical CurrentSince Nov 29, 1999 Accepting new patients
Deer Oaks Mental Health Associates PC Clinical CurrentSince Sep 12, 2022 Accepting new patients

Locations

407 S East Ave
Baxter, IA 50028
Phone (641) 227-3602

5200 Marymount Village Dr
Garfield Heights, OH 44125
Phone (216) 332-1070

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

1501 E Red River St
Ste A2
Victoria, TX 77901
Phone (361) 485-1318

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1023032281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7272 WURZBACH RD",
            "address_2": "SUITE 601",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404801",
            "telephone_number": "361-649-0395",
            "fax_number": "361-485-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7272 WURZBACH RD",
            "address_2": "SUITE 601",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404801",
            "telephone_number": "361-649-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SAUNDRA",
        "middle_name": "J",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "23465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0408510-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0408528-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOMHA MCR",
            "identifier": "8K3828",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD DOMHA MCR",
            "identifier": "82760P",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.