Individual provider Active NPI

Richard Douglas Sambrook, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Lake Hills, TX
National Provider Identifier
1366200081
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1153543 Issued in TX
Practice address
5524 Bee Caves Rd Ste H2
West Lake Hills, TX 78746-5246
Phone
(512) 710-0551
Fax
(512) 717-6337
NPI assigned
Mar 7, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1153543 TX Primary

Addresses

Primary practice location

5524 Bee Caves Rd Ste H2
West Lake Hills, TX 78746-5246

Mailing address

137 Tomatillo CV
Kyle, TX 78640-5723
Phone (860) 538-1667

Other practice location 1

137 Tomatillo Cv
Kyle, TX 78640-5723
Phone (186) 053-8166

Other identifiers 2

IdentifierTypeStateIssuer
481993001MedicaidTX
481993002MedicaidTX

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508004111 TX Practitioner - Nurse Practitioner 5799126769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Three Oaks Counseling Group LLCGroup PAC ID 2163728692, 29 clinicians

Practice addresses (Care Compare)

5524 Bee Caves Rd
Suite H2
West Lake Hills, TX 78746-5246
Phone (512) 710-0551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1153543TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Three Oaks Counseling Group, LLC Psychiatric/Mental Health CurrentSince May 1, 2024 Accepting new patients
Georgetown Psychological Services PLLC PastSince Aug 27, 2012 Accepting new patients

Locations

4749 Williams Dr
Ste 301
Georgetown, TX 78633
Phone (512) 710-0551

5524 Bee Caves Rd
Ste H2
West Lake Hills, TX 78746
Phone (512) 649-3050

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1366200081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 TOMATILLO CV",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405723",
            "telephone_number": "860-538-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5524 BEE CAVES RD STE H2",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465246",
            "telephone_number": "512-710-0551",
            "fax_number": "512-717-6337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Tomatillo Cv",
            "address_purpose": "LOCATION",
            "city": "Kyle",
            "state": "TX",
            "postal_code": "786405723",
            "country_code": "US",
            "telephone_number": "186-053-8166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMBROOK",
        "first_name": "RICHARD",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-07",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1153543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "481993001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "481993002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.