Dr Douglas Brackmann, PHD - Psychologist in San Diego, CA

Dr Douglas Brackmann, PHD is a Psychologist based in San Diego, California. Dr Douglas Brackmann is licensed to practice in California (license number PSY19753) and his current practice location is 3101 4th Ave, San Diego, California. He can be reached at his office (for appointments etc.) via phone at (858) 735-1667.

NPI number for Dr Douglas Brackmann is 1003011495 and his current mailing address is 8536 Ridgefield Pl, San Diego, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003011495.

Contact Information

Dr Douglas Brackmann, PHD
3101 4th Ave,
San Diego, CA 92103-5802
(858) 735-1667
(619) 542-0332



Healthcare Provider's Profile

Full NameDr Douglas Brackmann
GenderMale
SpecialityPsychologist
Location3101 4th Ave, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003011495
  • Provider Enumeration Date: 06/18/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Douglas Brackmann such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003011495NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY19753 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Douglas Brackmann is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Douglas Brackmann, PHD
8536 Ridgefield Pl,
San Diego, CA 92129-3731

Ph: (858) 735-1667
Dr Douglas Brackmann, PHD
3101 4th Ave,
San Diego, CA 92103-5802

Ph: (858) 735-1667

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› Verified 8 days ago


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