Individual provider Active NPI

Katherine Lee Bracken, PH.D.

  • Clinical Psychologist
  • Raleigh, NC
National Provider Identifier
1780017558
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4709 Issued in NC
Practice address
8951 Harvest Oaks Dr Ste 201
Raleigh, NC 27615-2114
Phone
(984) 266-2839
Fax
(984) 220-9477
NPI assigned
Aug 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 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 4709 NC Primary

Addresses

Primary practice location

8951 Harvest Oaks Dr Ste 201
Raleigh, NC 27615-2114

Mailing address

8951 Harvest Oaks Dr Ste 201
Raleigh, NC 27615-2114
Phone (984) 266-2839

Other practice location 1

1901 N Harrison Ave Ste 100
Cary, NC 27513-5597
Phone (919) 677-0101

Other practice location 2

3010 Falstaff Rd
Raleigh, NC 27610-1813
Phone (919) 573-6520

Other practice location 3

Federal Correctional Institution (FCI-I) Butner
Old Hwy 75
Butner, NC 27509
Phone (919) 575-4541 ext. 4053

Other practice location 4

8303 Six Forks Rd Ste 207
Raleigh, NC 27615-3094
Phone (919) 245-7791 ext. 10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2023 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4709NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine Bracken, PHD, PLLC Clinical CurrentSince Mar 24, 2025 Accepting new patients
Breyta Psychological Services, P.a. PastSince Aug 1, 2022 Accepting new patients
3-C Family Services, .P.a Clinical Past Accepting new patients
3-C Family Services Clinical Past Accepting new patients

Locations

8951 Harvest Oaks Dr
Ste 201
Raleigh, NC 27615
Phone (585) 734-8933

Organizations & group practices 4

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": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1780017558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8951 HARVEST OAKS DR STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152114",
            "telephone_number": "984-266-2839",
            "fax_number": "984-220-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 HARVEST OAKS DR STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152114",
            "telephone_number": "984-266-2839",
            "fax_number": "984-220-9477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 N Harrison Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275135597",
            "country_code": "US",
            "telephone_number": "919-677-0101",
            "fax_number": "919-677-0113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3010 Falstaff Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101813",
            "country_code": "US",
            "telephone_number": "919-573-6520",
            "fax_number": "919-573-6555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Federal Correctional Institution (FCI-I) Butner",
            "address_2": "Old Hwy 75",
            "address_purpose": "LOCATION",
            "city": "Butner",
            "state": "NC",
            "postal_code": "27509",
            "country_code": "US",
            "telephone_number": "919-575-4541 x4053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8303 Six Forks Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276153094",
            "country_code": "US",
            "telephone_number": "919-245-7791 x10",
            "fax_number": "919-867-2786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACKEN",
        "first_name": "KATHERINE",
        "middle_name": "LEE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.