Paul E. Bracke
NPI 1295826980ActiveIndividual· Psychologist· Oakland, CA
Psychologist in Oakland, California, trained at Stanford University School of Medicine (class of 1985). Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1295826980 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 27, 2006 |
| Last updated in NPPES | Nov 20, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY10435 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
Education and affiliations
| Medical school | Stanford University School of Medicine |
|---|---|
| Graduation year | 1985 |
| Medicare specialty | Clinical Psychologist |
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