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DR. CHRISTINE M VANDENBROUCKE-BOUCKAERT PH.D.IN CLINICAL PSY
NPI 1851463020
Psychologist - Clinical in San Rafael, CA

Active since November 14, 2006
1480 LINCOLN AVE, #12, SAN RAFAEL, CA 94901(415) 457-5145(415) 382-9051 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. Christine M Vandenbroucke-bouckaert Ph.d.in Clinical Psy NPPES

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

DR. CHRISTINE M VANDENBROUCKE-BOUCKAERT PH.D.IN CLINICAL PSY (NPI 1851463020) is an individual clinical provider in San Rafael, California, licensed in California (PSY18851) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1851463020
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CHRISTINE M VANDENBROUCKE-BOUCKAERTCredential: PH.D.IN CLINICAL PSY
Location Address1480 LINCOLN AVE, #12San Rafael, CA 94901-2084
Mailing Address1480 Lincoln Ave, #12San Rafael, CA 94901-2084 · (415) 457-5145 · Fax (415) 382-9051
Phone(415) 457-5145
Fax(415) 382-9051
Sole ProprietorYes
Enumeration DateNovember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1851463020 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 · PSY18851
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.
1480 LINCOLN AVE, San Rafael, CA 94901
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Other Identifiers 1

Medicare ID-Type Unspecified0PL188510CA

Other Providers at the Same Location NPPES 12

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

ALYSSA PARIS
Marriage & Family Therapist
1480 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (310) 909-4834
GEORGIANA RUMMAN
Student in an Organized Health Care Education/Training Program
1480 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (858) 951-7266
MS. ELIZABETH ANN REA MA, MFT INTERN
Marriage & Family Therapist
1480 LINCOLN AVE, #8
SAN RAFAEL, CA 94901
Marin County (415) 456-7724
MEGHAN K YOUNG M.A., MFTI
Marriage & Family Therapist
1480 LINCOLN AVE, #8
SAN RAFAEL, CA 94901
Marin County (727) 743-9068
ANANYA HIXON MA, MFT INTERN
Marriage & Family Therapist
1480 LINCOLN AVE, #8
SAN RAFAEL, CA 94901
Marin County (415) 456-7724
CHRIS THORSON
Student in an Organized Health Care Education/Training Program
1480 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (415) 456-7724
MARY SERPHOS
Counselor (Mental Health)
1480 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (415) 456-1050
VANESSA ADERS
Marriage & Family Therapist
1480 LINCOLN AVE
SAN RAFAEL, CA 94901
Marin County (415) 456-7724

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 Christine Vandenbroucke-bouckaert's NPI number?

The NPI number for Christine Vandenbroucke-bouckaert is 1851463020. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Christine Vandenbroucke-bouckaert located?

Christine Vandenbroucke-bouckaert practices at 1480 Lincoln Ave #12, San Rafael, CA 94901. The listed phone number is (415) 457-5145.

What is Christine Vandenbroucke-bouckaert's specialty?

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

When was this NPI record last updated?

The NPPES record for Christine Vandenbroucke-bouckaert 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.