Caravel Counseling and Diagnostics SC
NPI 1780258004ActiveOrganization· Psychologist, Clinical· Woodbury, MN
Psychologist, Clinical in Woodbury, Minnesota, registered in NPPES in May 2021, part of Caravel Autism Health, LLC. The authorized official on file is Michael Miller, Ceo.
Overview
| NPI | 1780258004 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Caravel Autism Health, LLC |
| NPI issued | May 20, 2021 |
| Last updated in NPPES | Aug 5, 2025 |
| Certified by provider | Aug 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Psychologist, Counseling | 103TC1900X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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