ROBERT ARTHUR BROENEN (NPI# 1144362914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144362914 |
| Entity Type | Individual |
| Full Name | ROBERT ARTHUR BROENEN |
| Credential | PSY.D. |
| Practice Address |
161 Avenida Cabrillo San Clemente CA 92672-4040 |
| Practice Telephone | 9495429052 |
| Practice Fax Number | 9495423280 |
| Mailing Telephone | 9495429052 |
| Mailing Fax Number | 9495423280 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2012-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY13147 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TRIWEST | OPL13147 | 01 |
| Street Address |
161 AVENIDA CABRILLO |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92672-4040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194703249 | Louise Catherine Yeilding | Marriage & Family Therapist | 161 Avenida Cabrillo, Suite 1, San Clemente, CA 92672-4040 | 2006-01-07 |
| 1609433101 | Kristin Blaney, Individual & Family Therapy, Inc. | Counselor | 161 Avenida Cabrillo, San Clemente, CA 92672-4040 | 2019-05-21 |
| 1205344736 | Lyssa Kerrigan | Counselor | 161 Avenida Cabrillo, San Clemente, CA 92672-4040 | 2018-01-18 |
| 1982117396 | Beth Anderson Lmft | Marriage & Family Therapist | 161 Avenida Cabrillo, San Clemente, CA 92672 | 2017-11-07 |
| 1285092791 | Kristin Blaney | Marriage & Family Therapist | 161 Avenida Cabrillo, San Clemente, CA 92672-4040 | 2016-01-29 |
| 1053728212 | Michael Burke | Marriage & Family Therapist | 161 Avenida Cabrillo, San Clemente, CA 92672-4040 | 2014-07-18 |
| 1629480934 | Barbara Juliairmgardgelabert Anderson | Marriage & Family Therapist | 161 Avenida Cabrillo, San Clemente, CA 92672 | 2014-05-21 |
| 1619291275 | Tracy Watson Campbell | Social Worker | 161 Avenida Cabrillo, San Clemente, CA 92672-4040 | 2010-03-25 |
| 1104155290 | Ilene Blaisch | Community/Behavioral Health | 161 Avenida Cabrillo, San Clemente, CA 92672-4040 | 2009-12-18 |
| 1356584635 | Ilene M. Blaisch | Social Worker | 161 Avenida Cabrillo, San Clemente, CA 92672-4040 | 2009-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355234 | Julie Case | Massage Therapist | 205 Via Presa, I Do Not Work From Home- I Am A Contractor, San Clemente, CA 92672 | 2020-10-30 |
| 1396213971 | Kirtney So Lim | Military Health Care Provider | 62 Area San Mateo Naval Clinic, Camp Pendleton, CA 92672 | 2018-11-13 |
| 1407322258 | Lodie Ikeda | Non-emergency Medical Transport (VAN) | 119 Avenida Dolores B, San Clemente, CA 92672 | 2018-10-19 |
| 1629566245 | I-ting Wang | Counselor | 3551 Camino Mira Costa San Clemente, Suite T, San Clemente, CA 92672 | 2018-04-30 |
| 1174046874 | Russell Thompson Chiropractic Inc | Clinic/Center | 629 Camino De Los Mares, Ste. 104, San Clemente, CA 92672 | 2017-07-25 |
| 1518320415 | Addiction Health Alliance LLC | Clinical Medical Laboratory | 605 Avenida Las Flores, San Clemente, CA 92672 | 2016-03-30 |
| 1871961342 | Paul Van Zeumeren | Marriage & Family Therapist | 2715 Calle Del Comercio, Unit C, San Clemente, CA 92672 | 2015-09-14 |
| 1194043596 | Sima Moayed | Pharmacist | 801 N. Elcamino Real, San Clemente, CA 92672 | 2010-05-10 |
| 1942539432 | Martha Elena Hall | Acupuncturist | 131 W. El Portal, San Clemente, CA 92672 | 2009-12-14 |
| 1922334515 | Katie B Mann | Social Worker | 1401 N. El Camino Real, #100, San Clemente, CA 92672 | 2009-11-02 |
| Find all providers in zip 92672 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679097851 | Alicia Marie Duzman | Psychologist | 616 S El Camino Real Ste G16, San Clemente, CA 92672-4294 | 2017-07-31 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1194003608 | Gina Atencio-maclean | Psychologist | 647 Camino De Los Mares Ste 221, San Clemente, CA 92673-2807 | 2011-08-01 |
| 1124235593 | Marijane Elizabeth Ward | Psychologist | 2801 Canto Nubiado, San Clemente, CA 92673-6420 | 2007-05-16 |
| 1023138831 | Linda Anne Wicks | Psychologist | 255 Vista Marina, San Clemente, CA 92672-5439 | 2007-03-29 |
| 1588741656 | Sylvia Mary Marnella | Psychologist | 33 Campanilla, San Clemente, CA 92673 | 2006-11-01 |
| 1376528703 | Douglas Kent Smith | Psychologist | 629 Camino De Los Mares, Ste 202a, San Clemente, CA 92673-2834 | 2005-12-08 |
| 1629453691 | Albert Modad | Psychologist | 1211 Puerta Del Sol, San Clemente, CA 92673-6306 | 2015-07-20 |
| 1558597146 | Affiliated Psychiatric Medical Group | Psychologist | 647 Camino De Los Mares, #226, San Clemente, CA 92673-2807 | 2009-06-09 |
| 1790902211 | Janet M Seymour | Psychologist | 655 Camino De Los Mares, Suite 127, San Clemente, CA 92673-2809 | 2007-04-18 |
| Find all providers in SAN CLEMENTE | ||||
| City | SAN CLEMENTE |
| Zip Code | 92672 |
Please comment or provide details below to improve the information on ROBERT ARTHUR BROENEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.