DR. CONSTANCE ANN BRUNIG PH.D.
NPI 1336212273
Psychologist - Clinical in San Diego, CA

Active since November 16, 2006Opted out of Medicare · through Sep 5, 2027
4036 3RD AVE, SAN DIEGO, CA 92103(619) 296-8103(619) 296-5027 Get Directions Write a Review

NPPES record last updated: July 20, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Constance Ann Brunig Ph.d. NPPES

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

DR. CONSTANCE ANN BRUNIG PH.D. (NPI 1336212273) is an individual clinical provider in San Diego, California, licensed in California (PSY8162) and active in the NPI registry since November 2006. She has opted out of Medicare through September 5, 2027.

NPPES Registry Identity

NPI1336212273
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CONSTANCE ANN BRUNIGCredential: PH.D.
Location Address4036 3RD AVESan Diego, CA 92103-2102
Mailing Address4036 3rd AveSan Diego, CA 92103-2102 · (619) 296-8103 · Fax (619) 296-5027
Fax(619) 296-5027
Sole ProprietorYes
Enumeration DateNovember 16, 2006
Last NPPES UpdateJuly 20, 2007
NPI 1336212273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY8162
Definition
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.
4036 3RD AVE, San Diego, CA 92103

Other Identifiers 1

Other11331265CA · Caqh Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Constance Ann Brunig Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 5, 2023 through September 5, 2027.

Opt-Out Effective DateSeptember 5, 2023
Opt-Out In Effect ThroughSeptember 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Psychologist (Clinical)
4036 3RD AVE
SAN DIEGO, CA 92103
Pediatrics (Developmental - Behavioral Pediatrics)
4036 3RD AVE
SAN DIEGO, CA 92103
Psychologist (Clinical)
4036 3RD AVE
SAN DIEGO, CA 92103
Clinic/Center (Mental Health (Including Community Mental Health Center))
4036 3RD 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 Constance Brunig's NPI number?

The NPI number for Constance Brunig is 1336212273. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Constance Brunig located?

Constance Brunig practices at 4036 3rd Ave, San Diego, CA 92103. The listed phone number is (619) 296-8103.

What is Constance Brunig's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Constance Brunig enrolled in Medicare?

No. Constance Brunig has opted out of Medicare through September 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Constance Brunig was last updated on July 20, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.