South Branch Psychology Group, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SOUTH BRANCH PSYCHOLOGY GROUP, PLLC

Practice address

15 Grant St Unit 4
Petersburg, WV 26847-1688

Phone

(304) 257-2485

NPI assigned

Jun 9, 2025

Organization subpart

No

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

Authorized official

Name

Kimberly MortonNPI 1851061519

Title

Owner

Phone

(213) 410-6078

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Morton, MS

  • Clinical Psychologist
  • Martinsburg, WV
  • NPI 1851061519
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1396630752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268470392",
            "telephone_number": "304-257-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GRANT ST UNIT 4",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471688",
            "telephone_number": "304-257-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BRANCH PSYCHOLOGY GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-410-6078"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Smith
• Yvonne Smith
• Kendra Snow
• Katherine Sommers
• South Branch Hospitalist and Internal Medicine Group PLLC
• South Branch Surgical Associates Inc
• Sarah Elizabeth Spaid, COTA
• Joshua P Spradling
• Rachel E Spry
• Andrya Staggs

• Clinical Psychologist in Petersburg, WV
• Providers in Petersburg, WV by specialty
• Clinical Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.