IndividualActive
Douglas Brackmann, PH.D.
NPI 1003011495 · Psychologist · San Diego, CA
Provider details
- NPI number
- 1003011495
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PSY19753 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3101 4th Ave
San Diego, CA 92103-5802
Phone: (858) 735-1667
Fax: (619) 542-0332
Approximate (ZIP-level) locationGet directions
Mailing address
8536 Ridgefield Pl
San Diego, CA 92129-3731
Registry dates
- Enumerated
- 2007-06-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.