Active NPI
Richard Douglas Sambrook, MSN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- West Lake Hills, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1153543
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 481993001 | Medicaid | TX | |
| 481993002 | Medicaid | TX |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1153543 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Oaks Counseling Group, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Georgetown Psychological Services PLLC | Past | 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.
-
- Psychiatry Physician
- West Lake Hills, TX
- NPI 1457753287
Psychiatric/Mental Health
-
- Psychologist
- Georgetown, TX
- NPI 1942504949
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.