Killebrew Psychological Services, LLC
NPI 1073988051 · Psychologist · Ridgeland, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Killebrew Psychological Services, LLC is a Psychologist organization in Ridgeland, MS (NPI 1073988051).
Provider details
- NPI number
- 1073988051
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Alyssa Killebrew, Clinical Psychologist(601) 750-6102
- License
- 54946 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Agencies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 210 W Jackson StRidgeland, MS 39157-2312Phone: (769) 231-9414
Registry dates
- Enumerated
- 2015-12-02
- Last updated
- 2024-11-19
- Certified
- 2024-11-19
Frequently asked questions
- What is Killebrew Psychological Services, LLC's NPI number?
- Killebrew Psychological Services, LLC's National Provider Identifier (NPI) is 1073988051, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Killebrew Psychological Services, LLC?
- Killebrew Psychological Services, LLC is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Killebrew Psychological Services, LLC located?
- Killebrew Psychological Services, LLC's practice location on file with NPPES is 241 Sunnybrook Rd, Ridgeland, MS 39157-2206.
- What is Killebrew Psychological Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Killebrew Psychological Services, LLC is (769) 231-9414.
- Does Killebrew Psychological Services, LLC accept Medicare?
- Killebrew Psychological Services, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Killebrew Psychological Services, LLC?
- The authorized official listed on Killebrew Psychological Services, LLC's NPPES record is Alyssa Killebrew, Clinical Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Killebrew Psychological Services, LLC's NPI active?
- Yes — Killebrew Psychological Services, LLC's NPI (1073988051) is active in the NPPES registry as of the last update on 2024-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.