DR. DOUGLAS BRACKMANN PH.D. NPI 1003011495

Psychologist in San Diego, CA

NPI 1003011495 Individual Male Psychologist

About DOUGLAS BRACKMANN

Douglas Brackmann is a provider established in San Diego, California and his medical specialization is psychologist. The NPI number of Douglas Brackmann is 1003011495 and was assigned on June 2007. The practitioner's primary taxonomy code is 103T00000X with license number PSY19753 (CA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

A psychologist like Dr. Douglas Brackmann Ph.d. studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

Douglas Brackmann is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003011495

Provider NameDR. DOUGLAS BRACKMANN PH.D.
Provider Location Address3101 4TH AVE SAN DIEGO, CA 92103
Provider Mailing Address8536 RIDGEFIELD PL SAN DIEGO, CA 92129
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date06-18-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code103T00000X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
License No.PSY19753
License StateCA
Taxonomy DescriptionA 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.

Business Address

DR. DOUGLAS BRACKMANN PH.D.
3101 4TH AVE
SAN DIEGO, CA
ZIP 92103
Phone: (858) 735-1667
Fax: (619) 542-0332

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Mailing Address

DR. DOUGLAS BRACKMANN PH.D.
8536 RIDGEFIELD PL
SAN DIEGO, CA
ZIP 92129
Phone: (858) 735-1667
Fax: (619) 542-0332



Other Providers at the same location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790726263DR. JANICE LYNN REEVES PHD
Individual
Psychologist (Clinical)3101 4TH AVE
SAN DIEGO, CA 92103
(619) 688-0887
1346321742DR. ABBY MARIE BREWER-JOHNSON PSY.D.
Individual
Psychologist (Addiction (Substance Use Disorder))3101 4TH AVE
SAN DIEGO, CA 92103
(858) 220-9666
1194863357DR. HEATHER MARIE BERBERET PSY.D.
Individual
Psychologist (Clinical)3101 4TH AVE
SAN DIEGO, CA 92103
(619) 379-8513
1831313055DR. PAUL ROBERT SUSSMAN PH.D.
Individual
Psychologist (Clinical)3101 4TH AVE
SAN DIEGO, CA 92103
(619) 542-1335
1083829683 GENE MICHAEL SCOTT MFT
Individual
Marriage & Family Therapist3101 4TH AVE
SAN DIEGO, CA 92103
(619) 542-1335
1699979674DR. MARTIN RAY DOUCETT PH.D.
Individual
Psychologist3101 4TH AVE
SAN DIEGO, CA 92103
(619) 227-6193
1063681880DR. AMANDA BARTON QUAYLE PSY.D,
Individual
Psychologist (Clinical)3101 4TH AVE
SAN DIEGO, CA 92103
(619) 665-4143
1548418585DR. RICHARD JOHN MOYER III PSY.D.
Individual
Psychologist (Clinical)3101 4TH AVE
SAN DIEGO, CA 92103
(619) 980-1435
1154574598DR. YASMIN PETREE PSYD.
Individual
Psychologist3101 4TH AVE
SAN DIEGO, CA 92103
(858) 764-0980
1346557501DR. DOUGLAS THOMSON PH.D.
Individual
Psychologist3101 4TH AVE
SAN DIEGO, CA 92103
(619) 358-3378
1609115351 JENNIFER RIKARD PH.D.
Individual
Psychologist3101 4TH AVE
SAN DIEGO, CA 92103
(619) 607-1137
1356620827DR. JADA CADE PSY.D.
Individual
Psychologist (Clinical)3101 4TH AVE
SAN DIEGO, CA 92103
(858) 205-0665
1861891764 MARK WEST LMFT
Individual
Marriage & Family Therapist3101 4TH AVE
SAN DIEGO, CA 92103
(619) 964-8493
1093864969 ELIZABETH KINGSBURY PSY.D.
Individual
Psychologist (Clinical)3101 4TH AVE
SAN DIEGO, CA 92103
(858) 692-2685
1871953299 JAMES ALEXANDER GUTHRIE LMFT
Individual
Marriage & Family Therapist3101 4TH AVE
SAN DIEGO, CA 92103
(619) 955-0543
1366990368MRS. EVA MICHELLE BELANGER LMFT
Individual
Marriage & Family Therapist3101 4TH AVE
SAN DIEGO, CA 92103
(619) 800-1452

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.