Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KOENRAAD VAN BRAECKEL PHD
NPI 1750791307
Psychologist in San Diego, CA

Active since May 05, 2014
3665 KEARNY VILLA RD, SAN DIEGO, CA 92123(858) 966-5817 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 12, 2026, Oct 5, 2021, Sep 23, 2019 (3 updates tracked since 2019).

About Koenraad Van Braeckel Phd NPPES

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

KOENRAAD VAN BRAECKEL PHD (NPI 1750791307) is an individual psychologist in San Diego, California, licensed in California (PSY31225) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1750791307
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameKOENRAAD VAN BRAECKELCredential: PHD
Location Address3665 KEARNY VILLA RDSan Diego, CA 92123-1953
Mailing Address3020 Childrens WaySan Diego, CA 92123-4223 · (858) 966-5817
Sole ProprietorNo
Enumeration DateMay 5, 2014
Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
NPI 1750791307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY31225
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 072303 (IA)
3665 KEARNY VILLA RD, San Diego, CA 92123

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.

Marriage & Family Therapist
3665 KEARNY VILLA RD
SAN DIEGO, CA 92123
Case Manager/Care Coordinator
3665 KEARNY VILLA RD, SUITE 165
SAN DIEGO, CA 92123
Day Training/Habilitation Specialist
3665 KEARNY VILLA RD
SAN DIEGO, CA 92123
Psychologist
3665 KEARNY VILLA RD, SUITE 101
SAN DIEGO, CA 92123
Social Worker (Clinical)
3665 KEARNY VILLA RD
SAN DIEGO, CA 92123
Student in an Organized Health Care Education/Training Program
3665 KEARNY VILLA RD
SAN DIEGO, CA 92123
Audiologist
3665 KEARNY VILLA RD
SAN DIEGO, CA 92123
Audiologist-Hearing Aid Fitter
3665 KEARNY VILLA RD
SAN DIEGO, CA 92123

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 Koenraad Van Braeckel's NPI number?

The NPI number for Koenraad Van Braeckel is 1750791307. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Where is Koenraad Van Braeckel located?

Koenraad Van Braeckel practices at 3665 Kearny Villa Rd, San Diego, CA 92123. The listed phone number is (858) 966-5817.

What is Koenraad Van Braeckel'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 Koenraad Van Braeckel was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.