Skip to content

Sara Brooker

NPI 1821353541ActiveIndividual· Psychologist· San Rafael, CA

Opted out of Medicare from July 2023 to July 2027. Psychologist in San Rafael, California, licensed in CA, with an NPI issued in July 2012.

Overview

NPI1821353541
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJul 9, 2012
Last updated in NPPESAug 15, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X28204CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Jul 1, 2023 – Jul 1, 2027
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

Other Psychologist providers in San Rafael

All Psychologist providers in California →