Cathryn Elizabeth Vanbrackle, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY7396 Issued in FL

Practice address

600 Jimmy Ann Dr
#1918
Daytona Beach, FL 32114-7407

Phone

(305) 331-2553

NPI assigned

Jun 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Care Center for the Homeless IncGroup PAC ID 6103895107, 51 clinicians

Ace Behavioral Health LLCGroup PAC ID 2668984675, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ace Behavioral Health LLC

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1841094885

  Psychologist

  Medicare reassignment Care Compare group NPD
• Health Care Center for the Homeless Inc

  dba Orange Blossom Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1235213216
  Medicare reassignment Care Compare group
• Citrus County Rural Health Inc

  • Federally Qualified Health Center (FQHC)
  • Crystal River, FL
  • NPI 1740931831
  Medicare reassignment NPD
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000
  Medicare reassignment
• Cathryn E Van Brackle PSYD LLC

  • Psychologist
  • Daytona Beach, FL
  • NPI 1619119690
  Authorized official Same address or phone
• MF Debary LLC

  dba Debary Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Debary, FL
  • NPI 1487813382
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760686422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JIMMY ANN DRIVE",
            "address_2": "#1918",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32114",
            "telephone_number": "305-331-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JIMMY ANN DR",
            "address_2": "#1918",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321147407",
            "telephone_number": "305-331-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBRACKLE",
        "first_name": "CATHRYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Vallee
• Jesse Van Gampelaere
• Ann Van Herck, P.T.
• Michel Van Thielen, PT, AP, OMD
• Kara Van Zandt
• Vanderhoof Vitality, LLC
• Anne Bowden Vanderlaan, MSW
• Angela T Vandusen
• Tom Vansteenkiste
• Eric Varga, D.C.

• Psychologist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.