Sandra Dunkin, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

R9452 Issued in TX

Practice address

909 Pecan St
Bastrop, TX 78602-3819

Phone

(512) 360-8488

Fax

(956) 253-2505

NPI assigned

Jun 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sandra Van Wyk Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Texas a & M University System, HSC, College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brainwell Psychiatry and Mental Health PLLCGroup PAC ID 5698113983, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brainwell@org199.direct.charmhealth.com

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

• Brainwell Psychiatry and Mental Health PLLC

  • Psychiatry Physician
  • Bastrop, TX
  • NPI 1164173266

  Psychiatry, TX

  Medicare reassignment Care Compare group NPD Authorized official
• Banyan Texas, LLC

  • Substance Abuse Rehabilitation Facility
  • Waelder, TX
  • NPI 1629689559
  NPD (past)

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1316328016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1200",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786021200",
            "telephone_number": "512-360-8488",
            "fax_number": "956-253-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 PECAN ST",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023819",
            "telephone_number": "512-360-8488",
            "fax_number": "956-253-2505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4168 County Road 444",
            "address_purpose": "LOCATION",
            "city": "Waelder",
            "state": "TX",
            "postal_code": "789595328",
            "country_code": "US",
            "telephone_number": "830-283-3003",
            "fax_number": "830-522-2003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNKIN",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R9452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "VAN WYK",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Caitlyn Duong, DPT
• Samantha Eaton, DPT
• Economy Dental, Inc.
• Ellyn Margaret Eisenberg, LPC-S

• All providers in Bastrop, TX
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.