Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Travis Martin Shivley-Scott, PHD

Individual provider Clinical Psychologist · NPI 1609445444

Travis Martin Shivley-Scott, PHD is a Clinical Psychologist in Mather, California. Graduated from Fordham University School of Medicine in 2019, 7 years ago. Practices with Brain and Behavioral Associates, PC, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Trained at
Fordham University School of Medicine
Licensed in
CA
In the registry since
2021
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

10535 Hospital Way
Mather, CA 95655-4200
Phone: (916) 765-1903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 32064 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 32064 (CA)
Psychologist Taxonomy 103T00000X · Licence 32064 (CA)

Record details

NPI number1609445444
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 24, 2021
Last updated in NPPESOctober 7, 2022
Certification dateOctober 7, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolFORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Brain And Behavioral Associates, Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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