Individual provider Active NPI

Kathleen Ratcliff, PSY.D.

  • Clinical Psychologist
  • Cary, NC
National Provider Identifier
1154969657
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5670 Issued in NC
Practice address
1391 Kildaire Farm Rd # 1016
Cary, NC 27511-5525
Phone
(984) 464-0426
NPI assigned
Dec 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5670 NC Primary

Addresses

Primary practice location

1391 Kildaire Farm Rd # 1016
Cary, NC 27511-5525

Mailing address

1391 Kildaire Farm Rd # 1016
Cary, NC 27511-5525
Phone (984) 464-0426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220409000260 NC Practitioner - Clinical Psychologist 5193111672 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5670NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group, LLC Current Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Apr 11, 2022 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Apr 11, 2022 Accepting new patients
CBWC Concierge Services PLLC CurrentSince Nov 7, 2025 Accepting new patients
Carolina Brain Wellness Center PLLC CurrentSince Jul 2, 2022 Accepting new patients

Locations

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

23 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 322-4800

217 S Steele St
Ste C
Sanford, NC 27330
Phone (919) 205-8325

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1154969657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 KILDAIRE FARM RD # 1016",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115525",
            "telephone_number": "984-464-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 KILDAIRE FARM RD # 1016",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115525",
            "telephone_number": "984-464-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATCLIFF",
        "first_name": "KATHLEEN",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.