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
- 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) |
|---|---|---|---|---|
| 1 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | 072303 (IA) |
| 2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
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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. | |||||||||
| 1 | 7 | 5 | 0 | 7 | 9 | 1 | 3 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 14 | 9 | 2 | 3 | 0 | |
| 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 = 7 | 7 | ||||||||
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 Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1265199160 | HANA GROOS Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1508522277 | LEWIS SOLOMON Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1023777000 | HELEN NOEL BARRIOS Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1073272175 | JANEE WILLIAMS Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1235898156 | NATALIE ROSE OCONNOR Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1770235400 | GABRIELLA BURANZON Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1851043889 | AMANDA BORDAGARAY Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1629722004 | TAINA MOYNIHAN Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1245987569 | JACOB IRA FELDMAN Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1891443743 | COURTNEY NIKOLE RIVERA Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1942950241 | DARIANA ARLEYNE GONZALEZ RODRIGUEZ Individual | Behavior Analyst | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1962151019 | GENEVIEVE MARIE HOOK Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1598497554 | ABIGAIL WEST ATWOOD Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1639897366 | SHAIRA CRUZ Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1396467338 | JOELLE MENDEZ Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1518689447 | ISAIAH AVILA Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1700501616 | BRITTNEY MARGOTH MEDINA Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1326755588 | KELSEY TAKAMORI RBT Individual | Behavior Technician | 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123 (951) 813-4034 |
| 1023719168 | VICTORIA STARK Individual | Behavior Technician | 3655 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].
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