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

NPI Status: Active since May 05, 2014

Contact Information

3655 RUFFIN RD STE 100
SAN DIEGO, CA
ZIP 92123
Phone: (951) 528-2153

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Psychologist
Clinical

About KOENRAAD VAN BRAECKEL

This page provides the complete NPI Profile along with additional information for Koenraad Van Braeckel, a provider established in San Diego, California with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1750791307 assigned on May 2014. The practitioner's primary taxonomy code is 103TC0700X with license number 31225 (CA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI: 1750791307
Provider Name: KOENRAAD VAN BRAECKEL PHD
Gender: Male
Entity Type: Individual
Location Address: 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123
Location Phone: (951) 528-2153
Mailing Address: 3655 RUFFIN RD STE 100 SAN DIEGO, CA 92123
Mailing Phone: (951) 528-2153
Is Sole Proprietor?: No
Enumeration Date: 05-05-2014
Last Update Date: 10-05-2021
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A clinical psychologist like Koenraad Van Braeckel assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Psychologist Clinical
Taxonomy Code: 103TC0700X
Type: Behavioral Health & Social Service Providers
License No.: 31225
License State: CA
Taxonomy Description: 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	103TC0700X	Behavioral Health & Social Service Providers	Psychologist Clinical	072303 (IA)
2	390200000X	Student, Health Care	Student in an Organized Health Care Education/Training Program

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	5	0	7	9	1	3	0	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	10	0	14	9	2	3	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 4 + 9 + 2 + 3 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 7									7

The NPI number 1750791307 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

THAO NGUYEN

Behavior Technician

3655 RUFFIN RD STE 100
SAN DIEGO, CA
ZIP 92123

About KOENRAAD VAN BRAECKEL

Location Map

Specialty - Primary Taxonomy

Psychologist Clinical

Secondary Taxonomies

Psychologist Clinical

Student in an Organized Health Care Education/Training Program

Reviews for KOENRAAD VAN BRAECKEL PHD

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Koenraad Van Braeckel's NPI number?

Where is the provider located?

What is the provider's specialty?

Psychologist
Clinical