Active NPI
Sherry Haferkamp-Watson, PSY.D.
- Clinical Psychologist
- Brenham, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 37193
- Practice address
- 1600 S Day St
Brenham, TX 77833-4828 - Phone
- (979) 777-1683
- NPI assigned
- Mar 23, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 37193 | TX | Primary |
Addresses
Primary practice location
1600 S Day St
Brenham, TX 77833-4828
Mailing address
600 Walnut Hill Dr
Brenham, TX 77833-4986
Phone (979) 777-1683
Other practice location 1
2748 Longmire Dr
College Station, TX 77845-5424
Phone (979) 777-1683
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1600 S Day St
Brenham, TX 77833-4828
Phone (979) 777-1683
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brazos Valley Mental Health and Wellness, LLC | Clinical | Current | Accepting new patients |
Locations
1600 S Day St
Brenham, TX 77833
Phone (979) 777-1683
2554 E Villa Maria Rd
Bryan, TX 77802
Phone (979) 229-7636
2748 Longmire Dr
College Station, TX 77845
Phone (979) 777-1683
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Brenham, TX
- NPI 1063874683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1992167514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 WALNUT HILL DR",
"city": "BRENHAM",
"state": "TX",
"postal_code": "778334986",
"telephone_number": "979-777-1683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S DAY ST",
"city": "BRENHAM",
"state": "TX",
"postal_code": "778334828",
"telephone_number": "979-777-1683"
}
],
"practiceLocations": [
{
"address_1": "2748 Longmire Dr",
"address_purpose": "LOCATION",
"city": "College Station",
"state": "TX",
"postal_code": "778455424",
"country_code": "US",
"telephone_number": "979-777-1683",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAFERKAMP-WATSON",
"first_name": "SHERRY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-23",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "37193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brenham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.