DR. DOUGLAS BRACKMANN PH.D.
NPI 1003011495
Psychologist in San Diego, CA

Active since June 18, 2007
3101 4TH AVE, SAN DIEGO, CA 92103(858) 735-1667(619) 542-0332 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Douglas Brackmann Ph.d. NPPES

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

DR. DOUGLAS BRACKMANN PH.D. (NPI 1003011495) is an individual psychologist in San Diego, California, licensed in California (PSY19753) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1003011495
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. DOUGLAS BRACKMANNCredential: PH.D.
Location Address3101 4TH AVESan Diego, CA 92103-5802
Mailing Address8536 Ridgefield PlSan Diego, CA 92129-3731 · (858) 735-1667 · Fax (619) 542-0332
Fax(619) 542-0332
Sole ProprietorYes
Enumeration DateJune 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1003011495 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 · PSY19753
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.
3101 4TH AVE, San Diego, CA 92103

Other Providers at the Same Location NPPES 17

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

Psychologist (Clinical)
3101 4TH AVE
SAN DIEGO, CA 92103
Marriage & Family Therapist
3101 4TH AVE
SAN DIEGO, CA 92103
Psychologist (Clinical)
3101 4TH AVE
SAN DIEGO, CA 92103
Psychologist
3101 4TH AVE
SAN DIEGO, CA 92103
Psychologist (Clinical)
3101 4TH AVE
SAN DIEGO, CA 92103
Psychologist (Adult Development & Aging)
3101 4TH AVE
SAN DIEGO, CA 92103
Psychologist
3101 4TH AVE
SAN DIEGO, CA 92103
Psychologist (Clinical)
3101 4TH AVE
SAN DIEGO, CA 92103

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 Douglas Brackmann's NPI number?

The NPI number for Douglas Brackmann is 1003011495. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Douglas Brackmann located?

Douglas Brackmann practices at 3101 4th Ave, San Diego, CA 92103. The listed phone number is (858) 735-1667.

What is Douglas Brackmann's specialty?

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

When was this NPI record last updated?

The NPPES record for Douglas Brackmann was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.