SOUTH BRANCH PSYCHOLOGY GROUP, PLLC
NPI 1396630752
Psychologist - Clinical in Petersburg, WV
About South Branch Psychology Group, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH BRANCH PSYCHOLOGY GROUP, PLLC (NPI 1396630752) is a healthcare organization registered as a clinical in Petersburg, West Virginia and active in the NPI registry since June 2025. The organization lists Kimberly Morton, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Branch Psychology Group, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to South Branch Psychology Group, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is South Branch Psychology Group, PLLC's NPI number?
The NPI number for South Branch Psychology Group, PLLC is 1396630752. It was assigned to this organization in the NPPES registry on June 9, 2025.
Where is South Branch Psychology Group, PLLC located?
South Branch Psychology Group, PLLC is located at 15 Grant St Unit 4, Petersburg, WV 26847. The listed phone number is (304) 257-2485.
What is South Branch Psychology Group, PLLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is South Branch Psychology Group, PLLC enrolled in Medicare?
Yes. South Branch Psychology Group, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Branch Psychology Group, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to South Branch Psychology Group, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does South Branch Psychology Group, PLLC accept?
Health plans from Highmark Blue Cross Blue Shield West Virginia list South Branch Psychology Group, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for South Branch Psychology Group, PLLC was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# South Branch Psychology Group, Pllc · NPI 1396630752
Clinical organization in Petersburg, West Virginia. Organization record, active in the CMS NPPES registry since June 9, 2025.
## Identity
- **NPI:** 1396630752 (Entity type: Organization)
- **Enumerated:** June 9, 2025
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Kimberly Morton, OWNER
## Practice location
- **Address:** 15 GRANT ST UNIT 4, Petersburg, WV 26847-1688
- **Phone:** (304) 257-2485
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396630752) · Data from the CMS NPPES public registry.