KOENRAAD VAN BRAECKEL PHD
NPI 1750791307
Psychologist - Clinical in San Diego, CA

NPI Status: Active since May 05, 2014

Contact Information

3655 RUFFIN RD STE 100
SAN DIEGO, CA
ZIP 92123
Phone: (951) 528-2153

Get Directions Reviews

  • Individual
  • Male
  • Psychologist
  • Clinical

About KOENRAAD VAN BRAECKEL

This page provides the complete NPI Profile along with additional information for Koenraad Van Braeckel, a provider established in San Diego, California with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1750791307 assigned on May 2014. The practitioner's primary taxonomy code is 103TC0700X with license number 31225 (CA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1750791307
Provider Name
KOENRAAD VAN BRAECKEL PHD
Gender
Male
Entity Type
Individual
Location Address
3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123
Location Phone
(951) 528-2153
Mailing Address
3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123
Mailing Phone
(951) 528-2153
Is Sole Proprietor?
No
Enumeration Date
05-05-2014
Last Update Date
10-05-2021
Code Navigator

A clinical psychologist like Koenraad Van Braeckel assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
31225
License State
CA
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

072303 (IA)
2390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Reviews for KOENRAAD VAN BRAECKEL PHD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750791307
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100149230
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 4 + 9 + 2 + 3 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1750791307 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275297921 THAO NGUYEN
Individual
Behavior Technician3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123
(951) 813-4034
1265199160 HANA GROOS
Individual
Behavior Technician3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123
(951) 813-4034
1508522277 LEWIS SOLOMON
Individual
Behavior Technician3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123
(951) 813-4034
1023777000 HELEN NOEL BARRIOS
Individual
Behavior Technician3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123
(951) 813-4034
1073272175 JANEE WILLIAMS
Individual
Behavior Technician3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123
(951) 813-4034
1235898156 NATALIE ROSE OCONNOR
Individual
Behavior Technician3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123
(951) 813-4034
1770235400 GABRIELLA BURANZON
Individual
Behavior Technician3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123
(951) 813-4034
1851043889 AMANDA BORDAGARAY
Individual
Behavior Technician3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123
(951) 813-4034
1629722004 TAINA MOYNIHAN
Individual
Behavior Technician3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123
(951) 813-4034
1245987569 JACOB IRA FELDMAN
Individual
Behavior Technician3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123
(951) 813-4034
1891443743 COURTNEY NIKOLE RIVERA
Individual
Behavior Technician3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123
(951) 813-4034
1942950241 DARIANA ARLEYNE GONZALEZ RODRIGUEZ
Individual
Behavior Analyst3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123
(951) 813-4034
1962151019 GENEVIEVE MARIE HOOK
Individual
Behavior Technician3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123
(951) 813-4034
1598497554 ABIGAIL WEST ATWOOD
Individual
Behavior Technician3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123
(951) 813-4034
1639897366 SHAIRA CRUZ
Individual
Behavior Technician3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123
(951) 813-4034
1396467338 JOELLE MENDEZ
Individual
Behavior Technician3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123
(951) 813-4034
1518689447 ISAIAH AVILA
Individual
Behavior Technician3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123
(951) 813-4034
1700501616 BRITTNEY MARGOTH MEDINA
Individual
Behavior Technician3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123
(951) 813-4034
1326755588 KELSEY TAKAMORI RBT
Individual
Behavior Technician3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123
(951) 813-4034
1023719168 VICTORIA STARK
Individual
Behavior Technician3655 RUFFIN RD STE 100
SAN DIEGO, CA 92123
(951) 813-4034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750791307, enumerated in the NPI registry as an "individual" on May 05, 2014

The provider is located at 3655 Ruffin Rd Ste 100 San Diego, Ca 92123 and the phone number is (951) 528-2153

The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical

This NPI record was last updated on May 05, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.