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CAROLINA PSYCHOLOGY GROUP PLLC NPI 1265997407


NPI Information

NPI: 1265997407
Provider Name: CAROLINA PSYCHOLOGY GROUP, PLLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
2910 BRIARCLIFFE RD STE A
WINSTON SALEM, NC
ZIP 27106
Phone: (336) 276-1278
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CAROLINA PSYCHOLOGY GROUP, PLLC is a clinical psychologist in Winston Salem, NC. The provider is 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. CAROLINA PSYCHOLOGY GROUP, PLLC NPI is 1265997407. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2910 BRIARCLIFFE RD STE A
WINSTON SALEM, NC
ZIP 27106-177
Phone: (336) 276-1278
Fax: (336) 276-1516

The provider's authorized official is Samuel Bemiss Gray .
The authorized official title is Owner and has the following contact phone number (336) 276-1278.

The enumeration date for this NPI number is 2/1/2019 and was last updated on 2/1/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3103TC0700XPsychologistClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.