Active NPI
Sandra J. Haram, PH.D.
- Psychiatric/Mental Health Nurse Practitioner
- Richardson, TX
National Provider Identifier
1497813620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 507125
- Practice address
- 1401 N Central Expy
Suite 375
Richardson, TX 75080-4669 - Phone
- (972) 644-8077
- Fax
- (972) 644-8557
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10647 | TX | |
| Marriage & Family Therapist | 106H00000X | 142 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 507125 | TX | Primary |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 507125 | TX |
Addresses
Primary practice location
1401 N Central Expy
Suite 375
Richardson, TX 75080-4669
Mailing address
2720 Melrose Dr
Plano, TX 75075-1931
Phone (972) 596-4631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1100067-04 | Medicaid | TX |
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
- Nurse Practitioner, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10647 | TX | MD | Professional Counselor |
| 142 | TX | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428278400000",
"number": "1497813620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 MELROSE DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750751931",
"telephone_number": "972-596-4631",
"fax_number": "972-644-8557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 N CENTRAL EXPY",
"address_2": "SUITE 375",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750804669",
"telephone_number": "972-644-8077",
"fax_number": "972-644-8557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARAM",
"first_name": "SANDRA",
"middle_name": "J.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2015-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "10647",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "142",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "507125",
"primary": true
},
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "TX",
"license": "507125",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1100067-04",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.