BRANCHES HOLISTIC HEALTH AND WELLNESS
NPI 1902916653
Psychologist in Winston Salem, NC

Active since August 30, 2006
1001 REYNOLDA RD, STOCKTON COTTAGE, WINSTON SALEM, NC 27104(336) 406-8431(336) 723-1411 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Branches Holistic Health And Wellness NPPES

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

BRANCHES HOLISTIC HEALTH AND WELLNESS (NPI 1902916653) is a healthcare organization registered as a psychologist in Winston Salem, North Carolina and active in the NPI registry since August 2006. The organization lists Katherine T Kelly, Psychologist, Director, as its authorized official.

NPPES Registry Identity

NPI1902916653
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameKATHERINE T. KELLY, PH.D., LLC
Location Address1001 REYNOLDA RD, STOCKTON COTTAGEWinston Salem, NC 27104-3245
Mailing Address1001 Reynolda Rd, Stockton CottageWinston Salem, NC 27104-3245 · (336) 406-8431 · Fax (336) 723-1411
Fax(336) 723-1411
Organization SubpartNo
Authorized OfficialKatherine T KellyPsychologist, Director · (336) 406-8431
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1902916653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NC · 2729
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1001 REYNOLDA RD, Winston Salem, NC 27104

Other Names 1

Doing Business AsBranches Holistic Health And Wellness

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

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)

Branches Holistic Health And Wellness 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 Branches Holistic Health And Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1407822372
1001 REYNOLDA RD STOCKTON COTTAGE
Winston-salem, NC 27104
(336) 723-1011
✔ PECOS✔ Accepts MedicareSame address

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 Katherine T. Kelly, Ph.D., LLC's NPI number?

The NPI number for Katherine T. Kelly, Ph.D., LLC is 1902916653. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Branches Holistic Health And Wellness.

Where is Katherine T. Kelly, Ph.D., LLC located?

Katherine T. Kelly, Ph.D., LLC is located at 1001 Reynolda Rd Stockton Cottage, Winston Salem, NC 27104. The listed phone number is (336) 406-8431.

What is Katherine T. Kelly, Ph.D., LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Katherine T. Kelly, Ph.D., LLC enrolled in Medicare?

Yes. Katherine T. Kelly, Ph.D., LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Katherine T. Kelly, Ph.D., LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Katherine T. Kelly, Ph.D., LLC. 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 Katherine T. Kelly, Ph.D., LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Katherine T. Kelly, Ph.D., LLC 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 T. Kelly, Ph.D., LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.