Individual provider Active NPI

Sheri Lurlene Braudrick-Dogins, SCHOOL PSYCHOLOGIST

  • Cognitive & Behavioral Psychologist
  • Los Gatos, CA
National Provider Identifier
1730818725
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
0824 Issued in CA
Practice address
200 Winchester Cir Apt B309
Los Gatos, CA 95032-1859
Phone
(661) 331-3217
NPI assigned
Jun 6, 2022
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 0824 CA Primary

Addresses

Primary practice location

200 Winchester Cir Apt B309
Los Gatos, CA 95032-1859

Mailing address

200 Winchester Cir Apt B309
Los Gatos, CA 95032-1859
Phone (661) 331-3217

Other names 1

  • Ms. Sheri Lurlene Braudrick Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0824CAMDCognitive & Behavioral Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1730818725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WINCHESTER CIR APT B309",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321859",
            "telephone_number": "661-331-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WINCHESTER CIR APT B309",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321859",
            "telephone_number": "661-331-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUDRICK-DOGINS",
        "first_name": "SHERI",
        "middle_name": "LURLENE",
        "name_prefix": "Mrs.",
        "credential": "SCHOOL PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "0824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERI",
            "last_name": "BRAUDRICK",
            "middle_name": "LURLENE",
            "prefix": "MS.",
            "credential": "CREDENTIAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.