DR. RICHARD G BRAKE PSY.D.
NPI 1205912086
Psychologist in San Antonio, TX

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
15321 SAN PEDRO AVE STE 102, SAN ANTONIO, TX 78232(210) 587-6177(210) 587-6178 Get Directions Write a Review

NPPES record last updated: October 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard G Brake Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD G BRAKE PSY.D. (NPI 1205912086) is an individual psychologist in San Antonio, Texas, licensed in Texas (14197) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1205912086
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. RICHARD G BRAKECredential: PSY.D.
Location Address15321 SAN PEDRO AVE STE 102San Antonio, TX 78232-3712
Mailing Address15321 San Pedro Ave Ste 102San Antonio, TX 78232-3712 · (210) 587-6177 · Fax (210) 587-6178
Fax(210) 587-6178
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 27, 2006
Last NPPES UpdateOctober 15, 2014
NPI 1205912086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in TX · 14197
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
15321 SAN PEDRO AVE STE 102, San Antonio, TX 78232

Other Identifiers 2

Medicare UPIN00679HTX
Medicaid160425801TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Richard G Brake Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931201274
PECOS Enrollment IDI20080325000031
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Brake's NPI number?

The NPI number for Richard Brake is 1205912086. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Richard Brake located?

Richard Brake practices at 15321 San Pedro Ave Ste 102, San Antonio, TX 78232. The listed phone number is (210) 587-6177.

What is Richard Brake's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Richard Brake enrolled in Medicare?

Yes. Richard Brake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Richard Brake was last updated on October 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.