Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carissa D Bravo, PSYD

Individual provider Mental Health Counselor · NPI 1538562749

Carissa D Bravo, PSYD is a Clinical Psychologist in Medford, Oregon. Qualified in 2017, 9 years ago. Practices with Providence Health and Services Oregon, a 164-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
9
Licensed in
OR
In the registry since
2014
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

70 Bower Dr
Medford, OR 97501-3689
Phone: (541) 734-3430
Fax: (541) 734-3638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3008 (OR)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1538562749
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedOctober 1, 2014
Last updated in NPPESApril 9, 2020
Certification dateApril 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Providence Health And Services Oregon — 164 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Medford