SARA BROOKER
NPI 1821353541
Psychologist in San Rafael, CA

Active since July 09, 2012Opted out of Medicare · through Jul 1, 2027
111 SMITH RANCH RD, SAN RAFAEL, CA 94903(415) 491-3000 Get Directions Write a Review

NPPES record last updated: August 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sara Brooker NPPES

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

SARA BROOKER (NPI 1821353541) is an individual psychologist in San Rafael, California, licensed in California (28204) and active in the NPI registry since July 2012. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1821353541
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSARA BROOKER
Location Address111 SMITH RANCH RDSan Rafael, CA 94903-1939
Mailing Address708 Page StSan Francisco, CA 94117-2409 · (714) 348-2457
Sole ProprietorNo
Enumeration DateJuly 9, 2012
Last NPPES UpdateAugust 15, 2016
NPI 1821353541 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 CA · 28204
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.
111 SMITH RANCH RD, San Rafael, CA 94903

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Sara Brooker has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Psychiatry & Neurology (Psychiatry)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marriage & Family Therapist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marriage & Family Therapist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Psychologist (Clinical)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Psychologist (Clinical Child & Adolescent)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903

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 Sara Brooker's NPI number?

The NPI number for Sara Brooker is 1821353541. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Sara Brooker located?

Sara Brooker practices at 111 Smith Ranch Rd, San Rafael, CA 94903. The listed phone number is (415) 491-3000.

What is Sara Brooker's specialty?

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

Is Sara Brooker enrolled in Medicare?

No. Sara Brooker has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sara Brooker was last updated on August 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.