Active NPI
Sasha Mondragon, PHD
- Clinical Psychologist
- Spring, TX
National Provider Identifier
1295089613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 38490
- Practice address
- 4810 W Panther Creek Dr Ste 100
Spring, TX 77381-5005 - Phone
- (281) 863-9980
- NPI assigned
- Nov 7, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 38490 | TX | Primary |
Addresses
Primary practice location
4810 W Panther Creek Dr Ste 100
Spring, TX 77381-5005
Mailing address
4810 W Panther Creek Dr Ste 100
Spring, TX 77381-5005
Phone (281) 863-9980
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38490 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1295089613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4810 W PANTHER CREEK DR STE 100",
"city": "SPRING",
"state": "TX",
"postal_code": "773815005",
"telephone_number": "281-863-9980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4810 W PANTHER CREEK DR STE 100",
"city": "SPRING",
"state": "TX",
"postal_code": "773815005",
"telephone_number": "281-863-9980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONDRAGON",
"first_name": "SASHA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-07",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "38490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.