75/100RP Score
Ranked #1 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 5.0★ from 5 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Best Psychologists in San Antonio, TX (2026)
121 psychologists ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →
The short answer
- 1
Best overall in San Antonio: Karen S. Berkowitz, PHD, RP Score 75/100; 5.0★ from 5 Google reviews.
- 14
Most-reviewed: Serrano OBGyn: Christopher Serrano, MD, 386 Google reviews at 4.6★, the most of 121 ranked; ranked #14.
Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank
121 San Antonio psychologists are ranked here by RP Score, from eight published factors. 28 open Saturdays and 11 open Sundays, based on posted hours. The median Google rating is 4.5★ across 121 rated practices.
Top 10 psychologists in San Antonio at a glance
Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.
| Rank | Business | RP Score | Google rating | Based in | Hours | Best for |
|---|---|---|---|---|---|---|
| 1 | Karen S. Berkowitz, PHD | 75 | 5.0★ (5) | San Antonio | — | Overall |
| 2 | Javier G. Villanueva, PHD | 75 | 5.0★ (5) | San Antonio | — | — |
| 3 | Tao Prosperity Counseling PLLC | 75 | 4.4★ (7) | San Antonio | Sat · Sun · Evenings | — |
| 4 | Sillon LLC | 75 | 4.9★ (58) | San Antonio | Sat | — |
| 5 | Margaret W. Berton, PHD | 75 | 4.4★ (7) | San Antonio | — | — |
| 6 | Dr. Lindsay Bira, LLC. | 75 | 3.9★ (11) | San Antonio | — | — |
| 7 | Dr. Daneen A Milam, Ph.D. | 75 | 4.3★ (6) | San Antonio | — | — |
| 8 | Dr. Ann-Louise Lockhart | 75 | 5.0★ (3) | San Antonio | — | — |
| 9 | Stevenson Sara MD | 75 | 5.0★ (3) | San Antonio | — | — |
| 10 | Dr. Abraham J. Lopez, Ph.D., Neurosychology | 74 | 3.7★ (3) | San Antonio | — | — |
The 121 best psychologists in San Antonio, ranked
Ordered by RP Score, a 0–100 score from eight published factors. Paid placement never changes the order.
Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.
Based in San Antonio
75/100RP ScoreRanked #2 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 5.0★ from 5 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in San Antonio
75/100RP ScoreRanked #3 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 4.4★ from 7 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
#4 Sillon LLC
Based in San Antonio
75/100RP ScoreRanked #4 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 4.9★ from 58 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in San Antonio
75/100RP ScoreRanked #5 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 4.4★ from 7 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in San Antonio
75/100RP ScoreRanked #6 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 3.9★ from 11 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in San Antonio
75/100RP ScoreRanked #7 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 4.3★ from 6 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in San Antonio
75/100RP ScoreRanked #8 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 5.0★ from 3 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in San Antonio
75/100RP ScoreRanked #9 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 5.0★ from 3 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in San Antonio
74/100RP ScoreRanked #10 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 3.7★ from 3 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
#11 Dr. Amanda Sharp
Based in San Antonio
74/100RP ScoreRanked #11 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 2.3★ from 3 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in San Antonio
74/100RP ScoreRanked #12 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 2.2★ from 6 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in San Antonio
73/100RP ScoreRanked #13 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 3.1★ from 30 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in San Antonio
73/100RP ScoreRanked #14 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 4.6★ from 386 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in San Antonio
72/100RP ScoreRanked #15 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 5.0★ from 60 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
#16 Trevino Dina PhD
Based in San Antonio
72/100RP ScoreRanked #16 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 1.0★ from 9 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in San Antonio
71/100RP ScoreRanked #17 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 3.8★ from 78 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in San Antonio
71/100RP ScoreRanked #18 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 2.3★ from 4 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in San Antonio
71/100RP ScoreRanked #19 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 3.5★ from 60 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in San Antonio
70/100RP ScoreRanked #20 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 5.0★ from 15 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
#21 Critusa
Based in San Antonio
70/100RP ScoreRanked #21 because of specialty focus and its Google rating: listed on Google as “Child psychologist”, 5.0★ from 12 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in San Antonio
70/100RP ScoreRanked #22 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 5.0★ from 5 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in San Antonio
70/100RP ScoreRanked #23 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 4.9★ from 9 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in San Antonio
70/100RP ScoreRanked #24 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 4.9★ from 11 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in San Antonio
70/100RP ScoreRanked #25 because of specialty focus and its Google rating: listed on Google as “Psychologist”, 4.6★ from 10 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Psychologists ranked #26 to #50
#1 to #25 are shown in full above. Here are #26 to #50, in RP Score order; each links to its profile. We publish the top 50 of 121 ranked psychologists here; the rest are on their profiles.
| Rank | Business | RP Score | Google rating | Distance |
|---|---|---|---|---|
| 26 | Brain Coach, LLC. | 70 | 4.5★ (13) | In San Antonio |
| 27 | Dr. Gary Whiting, Ph.D. | 69 | 4.9★ (8) | In San Antonio |
| 28 | Maddox Child Psychology, PLLC | 69 | 5.0★ (3) | In San Antonio |
| 29 | A New Day Pediatric Psychology, PLLC | 69 | 4.2★ (12) | In San Antonio |
| 30 | SUNRISE PSYCHOLOGICAL SERVICES, KRISTINE M. JOHNSTON, PH.D. | 69 | 4.8★ (18) | In San Antonio |
| 31 | Gabriela Nuñez, PsyD | 69 | 4.3★ (6) | In San Antonio |
| 32 | Kelli Franco, PhD | 69 | 4.3★ (6) | In San Antonio |
| 33 | Cristina V. Serrano, PHD | 69 | 5.0★ (4) | In San Antonio |
| 34 | Mark R. Zitlin, Ph.D., Clinical Psychologist | 69 | 3.7★ (6) | In San Antonio |
| 35 | Angelique Snyder, PsyD | 69 | 3.7★ (14) | In San Antonio |
| 36 | Joch Psychological Consulting | 69 | 3.7★ (18) | In San Antonio |
| 37 | Little Spurs Developmental & Behavioral Pediatrics - Westover Hills | 69 | 3.6★ (14) | In San Antonio |
| 38 | Pediatric Psychological Testing Services | 69 | 3.6★ (5) | In San Antonio |
| 39 | Dr. Liza Maldonado, Licensed Clinical Psychologist | 69 | 4.3★ (6) | In San Antonio |
| 40 | Mission Psychology | 68 | 3.5★ (16) | In San Antonio |
| 41 | Murphey Joann PHD | 68 | 3.7★ (21) | In San Antonio |
| 42 | Paul S. McCollum, Ph.D | 68 | 4.0★ (4) | In San Antonio |
| 43 | Fernando J. Esparza, PSY | 68 | 3.5★ (8) | In San Antonio |
| 44 | Progressing Minds, PLLC | 68 | 4.3★ (6) | In San Antonio |
| 45 | Turning Point Associates, Inc. | 68 | 2.9★ (15) | In San Antonio |
| 46 | Sugar Valley Therapy | 68 | 5.0★ (4) | In San Antonio |
| 47 | Restore Behavioral Health | 68 | 2.5★ (65) | In San Antonio |
| 48 | Dr. Ana López | 68 | 4.0★ (4) | In San Antonio |
| 49 | New Day Recovery Services | 68 | 4.9★ (68) | In San Antonio |
| 50 | Offices of Michael A. Roman, Ph.D. | 67 | 2.8★ (23) | In San Antonio |
Also serving San Antonio
20 more psychologists within 20 mi that we can't rank yet: too few reviews, or a specialty we couldn't confirm. Listed A to Z.
How we ranked San Antonio psychologists
We scored 121 San Antonio psychologists on eight factors, weighted as shown. A practice is ranked when its specialty is confirmed and it has 3 or more Google reviews or a claimed profile. A practice with no Google reviews scores zero on rating, review volume and recency. Other unknown factors are left out, not counted as zero. Scores last refreshed November 9, 2026.
Paid placement never changes a rank or score. Sponsored businesses are paid, labelled, limited to 3 and shown above the ranking, outside it.
| Factor | Weight | Computed from | In San Antonio data |
|---|---|---|---|
| Reputation | 25% | Google star rating, adjusted for how many reviews back it | Measured |
| Review volume | 5% | Number of Google reviews, compared with the most-reviewed practice on the list | Measured |
| Recency | 5% | Share of Google reviews from the last 12 months | Not yet collected |
| Availability | 10% | Weekly open hours, Saturday, Sunday, and round-the-clock or same-day availability | Measured |
| Specialty focus | 25% | How clearly the practice does this specialty (its Google category and name) | Measured |
| Proximity | 15% | Based in the city scores highest, less the farther away it is | Measured |
| Claimed profile | 10% | The practice has claimed its Ranked Psychologists profile (free or paid earn the same) | Measured |
| Partnered | 5% | The practice links to Ranked Psychologists from its own website with our badge, checked periodically | Measured |
How to choose a psychologist
- Check the license with the state or provincial board that issued it; most boards publish a free online lookup.
- Make sure they regularly work with clients who have your concern, and ask what approach they use and why.
- If you may need testing as well as therapy (for example for ADHD or memory concerns), ask whether the practice does assessments itself.
- Ask about fees, insurance and the cancellation policy before the first session. In the US, if you are uninsured or paying yourself, you can ask for a good faith estimate of expected charges.
- Check practical fit: in-person or online sessions, evening times, and how soon they have an opening.
- After a few sessions, ask yourself whether you feel heard. Changing to a different provider is common and fine.
Questions to ask a psychologist
- Are you accepting new clients, and how soon could I start?
- Which license do you hold, and in which state or province?
- How often do you work with concerns like mine?
- Do you offer psychological testing, or therapy only?
- What do you charge per session, and do you take my insurance or provide a superbill?
- Do you offer online sessions?
- What is your cancellation policy?
- What do you keep confidential, and when would you have to share information?
Terms explained
- PhD / PsyD
- Doctoral degrees in psychology. A PhD usually has a stronger research focus, a PsyD a stronger clinical focus; both can lead to a psychologist license.
- Licensed psychologist
- A person licensed by a state or provincial psychology board to practice psychology. The title is protected by law.
- Psychological associate
- In some states and provinces, a master’s-level practitioner licensed or registered by the psychology board, often with supervision requirements.
- LPC / LMHC / LCPC
- US licenses for professional or mental health counselors (the name differs by state). They provide counseling and therapy.
- LCSW
- Licensed clinical social worker: a master’s-level social worker licensed to provide therapy.
- LMFT
- Licensed marriage and family therapist: licensed to treat individuals, couples and families with a focus on relationships.
- RP / RCC
- Registered psychotherapist (Ontario) and registered clinical counsellor (British Columbia): Canadian titles for licensed therapy providers.
- PSYPACT
- An interstate agreement that lets psychologists licensed in a member state provide telepsychology to clients in other member states once they hold the required authorization.
- Telehealth
- Sessions held by secure video or phone instead of in person. The provider generally needs to be licensed where the client is located.
- CBT
- Cognitive behavioral therapy: a structured talk therapy that works on the links between thoughts, feelings and behavior.
- DBT
- Dialectical behavior therapy: a form of CBT that teaches skills for managing intense emotions and relationships.
- ERP
- Exposure and response prevention: a form of CBT used for OCD.
Psychologists in San Antonio: frequently asked questions
Who is the best psychologist in San Antonio?
By RP Score, the highest-ranked psychologist in San Antonio, TX is Karen S. Berkowitz, PHD with an RP Score of 75/100. It has 5.0★ from 5 Google reviews. Javier G. Villanueva, PHD (#2) and Tao Prosperity Counseling PLLC (#3) follow. We ranked 121 psychologists on eight factors, last updated November 9, 2026.
How many psychologists are there in San Antonio?
RankedPsychologists ranks 121 psychologists serving San Antonio, TX. 50 of them are based in San Antonio; the rest serve it from nearby towns. Another 20 within 20 mi are listed but not ranked yet. Counts are as of November 2026.
What should I do if I need help right now?
In crisis or thinking about suicide? Call or text 988 (US and Canada), any time. In an emergency, call 911. This site cannot help in an emergency.
Which psychologists in San Antonio work on weekends?
28 of 121 ranked psychologists post Saturday hours and 11 post Sunday hours. The highest-ranked open Saturdays are Tao Prosperity Counseling PLLC (#3), Sillon LLC (#4) and Dr. Amanda Sharp (#11). Posted hours are office hours; many practices also offer evening or online sessions by appointment.
What Google rating do San Antonio psychologists have?
The median Google rating among 121 rated psychologists in San Antonio is 4.5★, with a median of 13 reviews. Serrano OBGyn: Christopher Serrano, MD has the most, 386 reviews, and ranks #14. We adjust ratings for review count, so a few five-star reviews cannot top the list.
How does RankedPsychologists rank psychologists?
Each psychologist gets a 0–100 RP Score from eight published factors, led by reputation (25%), specialty focus (25%), proximity (15%) and availability (10%). A practice with no Google reviews scores zero on rating, review volume and recency; other factors we cannot measure are left out. Only practices with a confirmed specialty and 3 or more reviews, or a claimed profile, are ranked.
Do psychologists outside San Antonio count in this ranking?
Yes, if they are within 20 mi of the San Antonio city center, our service radius for psychologists. Each listing shows where the practice is based and how far away it is. Proximity is 15% of the RP Score, so a nearby practice gets a small edge.
Can psychologists pay to rank higher on RankedPsychologists?
No. The RP Score never reads payment status, and this ranking has 0 paid placements. Up to 3 Featured practices may appear above the list, labelled Sponsored and showing their honest rank.
How are psychologists in San Antonio ranked?
Each practice gets an RP Score from 0 to 100 from 8 published factors, including its Google rating, how clearly it focuses on psychology and how close it is. Sponsored placements are shown separately and never change rank. The score does not measure treatment outcomes.
What is the difference between a psychologist and a therapist?
“Psychologist” is a protected title: only people licensed by a state or provincial psychology board may use it. Most hold a doctorate (PhD or PsyD) and are trained in psychological testing as well as therapy. “Therapist” is a general word: licensed counselors, clinical social workers and marriage and family therapists also provide therapy under their own licenses.
Can I see a psychologist online?
Often, yes. Licensing generally follows where you are during the session, so the provider needs to be licensed or authorized there. In the US, psychologists in PSYPACT member states can offer telepsychology to clients in other member states; counselors and social workers have their own rules. In Canada, ask whether the provider is registered in your province.
What if I need help right now?
Do not wait for a consultation. Call or text 988 (US and Canada) if you are in crisis or thinking about suicide, at any time. In an emergency, call 911.
Update log for San Antonio
- November 2026: RP Scores recalculated for 121 psychologists serving San Antonio.
More psychologists and San Antonio pages
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Other specialties in San Antonio
- Therapists and counselors in San Antonio459 ranked
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- Eating disorder therapists in San Antonio7 ranked
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- Clinical social workers in San Antonio33 ranked
- Addiction counselors in San Antonio39 ranked
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- All psychologists in San Antonio