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Contact Information

BRAVO PSYCHOLOGICAL GROUP, LLC
800 S FREDERICK AVE STE 200
GAITHERSBURG, MD20877-4152
 Phone: 301-233-5020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRAVO PSYCHOLOGICAL GROUP, LLC

NPI Number 1902475973
LBN Legal business name BRAVO PSYCHOLOGICAL GROUP, LLC
Authorized official ERIC BRAVO - (OWNER, PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/23/2021
Last updated 03/05/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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