Sandra Cordova, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

36849 Issued in TX

Practice address

150 W Shadowbend Ave
Suite 100
Friendswood, TX 77546-3968

Phone

(281) 576-9343

Fax

(866) 462-7454

NPI assigned

May 20, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psy-Med, Inc.Group PAC ID 5092863662, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psy-Med, Inc.

  • Health Psychologist
  • Dallas, TX
  • NPI 1881842102
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1801275177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W SHADOWBEND AVE",
            "address_2": "STE 200",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463970",
            "telephone_number": "281-576-9343",
            "fax_number": "866-462-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W SHADOWBEND AVE",
            "address_2": "SUITE 100",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463968",
            "telephone_number": "281-576-9343",
            "fax_number": "866-462-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-20",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Valarie G Contreras
• Deborah A Coppersmith, LPC
• Astrid Corbitt, OTR
• Core Chiropractic & Sports Medicine
• Kassandra Amarilis Cornejo
• Diana Aritzy Cortez
• Michelle L Cortez, LPC
• Cosmetic Smile Designs

• Psychologist in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.