CAROLINA PSYCHOLOGY GROUP, PLLC
NPI 1265997407
Psychologist - Clinical in Winston Salem, NC

Q: What is Carolina Psychology Group, PLLC's NPI number?

The NPI number for Carolina Psychology Group, PLLC is 1265997407. It was assigned to this organization in the NPPES registry on February 1, 2019.

Q: What is Carolina Psychology Group, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since February 01, 2019

100 S MARSHALL ST STE 1, WINSTON SALEM, NC 27101(336) 276-1278(336) 276-1516 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2022, Feb 1, 2019 (2 updates tracked since 2019).

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About Carolina Psychology Group, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINA PSYCHOLOGY GROUP, PLLC (NPI 1265997407) is a healthcare organization registered as a clinical in Winston Salem, North Carolina and active in the NPI registry since February 2019. The organization maintains a secondary practice location in Winston Salem and lists Samuel Bemiss Gray, Owner, as its authorized official.

NPPES Registry Identity

NPI1265997407

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameCAROLINA PSYCHOLOGY GROUP, PLLC

Location Address100 S MARSHALL ST STE 1Winston Salem, NC 27101-2843

Mailing Address100 S Marshall St Ste 1Winston Salem, NC 27101-2843 · (336) 276-1278 · Fax (336) 276-1516

Phone(336) 276-1278

Fax(336) 276-1516

Organization SubpartNo

Authorized OfficialSamuel Bemiss GrayOwner · (336) 276-1278

Enumeration DateFebruary 1, 2019

Last NPPES UpdateApril 4, 20222 updates tracked since enumeration

NPPES CertifiedApril 4, 2022

✔ NPI 1265997407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

100 S MARSHALL ST STE 1, Winston Salem, NC 27101

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Secondary Practice Location 1

Location 12910 Briarcliffe Rd Ste AWinston Salem, NC 27106-3177 · Phone (336) 276-1278 ext. 200 · Fax (336) 276-1516

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRADFORD HERRING

Counselor (Professional)