EUGENE F BRAAKSMA PHD
NPI 1669656245
Psychologist - Clinical in Milwaukee, WI

Q: What is Eugene Braaksma's NPI number?

The NPI number for Eugene Braaksma is 1669656245. It was assigned to this individual provider in the NPPES registry on December 19, 2007.

Q: What is Eugene Braaksma's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eugene Braaksma was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 19, 2007PECOS Enrolled

930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204(414) 383-9526(414) 671-6606 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2020, Feb 15, 2016 (2 updates tracked since 2016).

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About Eugene F Braaksma Phd NPPES

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

EUGENE F BRAAKSMA PHD (NPI 1669656245) is an individual clinical provider in Milwaukee, Wisconsin, licensed in Wisconsin (1236) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669656245

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameEUGENE F BRAAKSMACredential: PHD

Location Address930 W HISTORIC MITCHELL STMilwaukee, WI 53204-3533

Mailing Address930 W Historic Mitchell StMilwaukee, WI 53204-3533 · (414) 383-9526 · Fax (414) 671-6606

Phone(414) 383-9526

Fax(414) 671-6606

Sole ProprietorNo

Enumeration DateDecember 19, 2007

Last NPPES UpdateMarch 9, 20202 updates tracked since enumeration

NPPES CertifiedMarch 9, 2020

✔ NPI 1669656245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WI · 1236

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 1236-057 (WI)

930 W HISTORIC MITCHELL ST, Milwaukee, WI 53204

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Quartz.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eugene F Braaksma Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

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