Individual provider Active NPI

Sharon M. Sanders Braun, PHD

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1871589788
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20964 Issued in TX
Practice address
1919 Oakwell Farms Pkwy Ste 230
San Antonio, TX 78218-1734
Phone
(210) 822-4969
Fax
(210) 822-4919
NPI assigned
Sep 26, 2005
Last updated
Dec 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 20964 TX Primary
Cognitive & Behavioral Psychologist 103TB0200X 20964 TX

Addresses

Primary practice location

1919 Oakwell Farms Pkwy Ste 230
San Antonio, TX 78218-1734

Mailing address

1919 Oakwell Farms Pkwy Ste 230
San Antonio, TX 78218-1734
Phone (210) 822-4969

Other identifiers 1

IdentifierTypeStateIssuer
098914701MedicaidTX

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080411000063 TX Practitioner - Clinical Psychologist 7719064922 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1919 Oakwell Farms Pkwy
San Antonio, TX 78218-1734
Phone (210) 822-4969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20964TXMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
J.G.Baillargeon and Associates Single Specialty Past Accepting new patients
Sage Psychiatric Care, PLLC Single Specialty PastSince Jan 1, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1871589788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 OAKWELL FARMS PKWY STE 230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782181734",
            "telephone_number": "210-822-4969",
            "fax_number": "210-822-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 OAKWELL FARMS PKWY STE 230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782181734",
            "telephone_number": "210-822-4969",
            "fax_number": "210-822-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS BRAUN",
        "first_name": "SHARON",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "20964",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "TX",
            "license": "20964",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098914701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.