Active NPI
Bravo Mental Wellness, PLLC
- Adult Mental Health Clinic/Center
- Apex, NC
National Provider Identifier
1861190035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- BRAVO MENTAL WELLNESS, PLLC
- Practice address
- 916 Brittley Way
Apex, NC 27502-6438 - Phone
- (828) 776-5155
- NPI assigned
- Feb 17, 2023
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Sasha Bravo, MSN
- Title
- Pmhnp
- Phone
- (828) 776-5155
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Raleigh, NC
- NPI 1841883030
National Provider Directory
National Provider DirectoryLocations
174 Mine Lake Ct
Raleigh, NC 27615
Phone (919) 322-9723
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
NPPES NPI RegistryPrimary practice location
916 Brittley Way
Apex, NC 27502-6438
Mailing address
921 E Broad St Unit 1065
Fuquay Varina, NC 27526-1960
Phone (828) 776-5155
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841883030 | Other | INDIVIDUAL NPI |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 17, 2023.
{
"created_epoch": "1676592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676592000000",
"number": "1861190035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 E BROAD ST UNIT 1065",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275261960",
"telephone_number": "828-776-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 BRITTLEY WAY",
"city": "APEX",
"state": "NC",
"postal_code": "275026438",
"telephone_number": "828-776-5155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAVO MENTAL WELLNESS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-17",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A",
"authorized_official_last_name": "BRAVO",
"authorized_official_first_name": "SASHA",
"authorized_official_title_or_position": "PMHNP",
"authorized_official_telephone_number": "828-776-5155",
"authorized_official_credential": "MSN"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1841883030",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.