Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Katherine T. Kelly, PHD

Individual provider Clinical Psychologist · NPI 1407822372

Dr. Katherine T. Kelly, PHD is a Clinical Psychologist in Winston Salem, North Carolina. Qualified in 1999, 27 years ago. Accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
27
Licensed in
NC
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1001 Reynolda Rd Stockton Cottage
Winston Salem, NC 27104-3245
Phone: (336) 723-1011
Fax: (336) 723-1411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2729 (NC)

Record details

NPI number1407822372
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedFebruary 28, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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