Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KATHERINE T. KELLY PH.D.
NPI 1407822372
Psychologist - Clinical in Winston-salem, NC

Active since February 28, 2006PECOS Enrolled
1001 REYNOLDA RD, STOCKTON COTTAGE, WINSTON-SALEM, NC 27104(336) 723-1011(336) 723-1411 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Katherine T. Kelly Ph.d. NPPES

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

DR. KATHERINE T. KELLY PH.D. (NPI 1407822372) is an individual clinical provider in Winston-salem, North Carolina, licensed in North Carolina (2729) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1407822372
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KATHERINE T. KELLYCredential: PH.D.
Location Address1001 REYNOLDA RD, STOCKTON COTTAGEWinston-salem, NC 27104-3245
Mailing Address148 Carrisbrooke LnWinston-salem, NC 27104-2528 · (336) 406-8431 · Fax (336) 732-1411
Fax(336) 723-1411
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 28, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1407822372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NC · 2729
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.
1001 REYNOLDA RD, Winston-salem, NC 27104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Katherine T. Kelly Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416922349
PECOS Enrollment IDI20040901001381
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
1001 REYNOLDA RD
WINSTON SALEM, NC 27104
Social Worker (Clinical)
1001 REYNOLDA RD
WINSTON SALEM, NC 27104
Social Worker (Clinical)
1001 REYNOLDA RD
WINSTON SALEM, NC 27104
Social Worker (Clinical)
1001 REYNOLDA RD
WINSTON SALEM, NC 27104
Marriage & Family Therapist
1001 REYNOLDA RD
WINSTON SALEM, NC 27104
Counselor (Mental Health)
1001 REYNOLDA RD
WINSTON SALEM, NC 27104
Residential Treatment Facility, Emotionally Disturbed Children
1001 REYNOLDA RD
WINSTON SALEM, NC 27104
Counselor (Professional)
1001 REYNOLDA RD
WINSTON SALEM, NC 27104

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 Katherine Kelly's NPI number?

The NPI number for Katherine Kelly is 1407822372. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Katherine Kelly located?

Katherine Kelly practices at 1001 Reynolda Rd Stockton Cottage, Winston-Salem, NC 27104. The listed phone number is (336) 723-1011.

What is Katherine Kelly's specialty?

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

Is Katherine Kelly enrolled in Medicare?

Yes. Katherine Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Katherine Kelly accept?

Health plans from Blue Cross and Blue Shield of NC list Katherine Kelly 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 Katherine Kelly was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.