Individual provider · Type 1 NPI

Koenraad Van Braeckel, PhD

Psychologist · San Diego, CA

NPI number 1750791307 Active

Practice location

3665 Kearny Villa Rd
San Diego, CA 92123-1953

Call (858) 966-5817 Map

Mailing address

3020 Childrens Way
San Diego, CA 92123-4223

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY31225 (CA)
Clinical Psychologist 103TC0700X072303 (IA)

Psychologist: 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 adjustmen…

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About NPI 1750791307

Koenraad Van Braeckel, PhD's National Provider Identifier is 1750791307, issued on May 5, 2014. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in San Diego, CA. The record was last updated on Aug 12, 2026.