Carissa D. Bravo, PSYD
NPI 1538562749ActiveIndividual· Psychologist, Clinical· Medford, OR
Psychologist, Clinical (PSYD) with Providence Health and Services Oregon, practicing in Medford, Oregon. Medicare paid $14,805 for services to 62 patients in 2024.
Overview
| NPI | 1538562749 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Oct 1, 2014 |
| Last updated in NPPES | Apr 9, 2020 |
| Certified by provider | Apr 9, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 3008 | OR |
| Counselor, Mental Health | 101YM0800X | — | — |
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 (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 62 |
|---|---|
| Services billed | 193 across 8 procedure codes |
| Paid by Medicare | $14,805 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Providence Health and Services OregonMedford, OR · 170 clinicians
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All 22 clinical psychologists in Medford · All clinical psychologists in Oregon