Jennifer Petell, PH.D IN CLINICAL PSY
NPI 1710505268 · Psychologist · Southaven, MS
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Petell, PH.D IN CLINICAL PSY is a Psychologist provider in Southaven, MS (NPI 1710505268).
Provider details
- NPI number
- 1710505268
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D IN CLINICAL PSY
- Sex
- Female
- Sole proprietor
- No
- License
- 641185 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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 (2)
- 5480 Goodman Rd Ste 1Olive Branch, MS 38654-7902Phone: (662) 874-6507Fax: (662) 932-8197
- 6570 Summer Oaks CvBartlett, TN 38134-2857Phone: (901) 536-4646Fax: (662) 536-4443
Registry dates
- Enumerated
- 2020-07-10
- Last updated
- 2025-09-30
- Certified
- 2025-09-30
Frequently asked questions
- What is Jennifer Petell's NPI number?
- Jennifer Petell's National Provider Identifier (NPI) is 1710505268, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Petell's specialty?
- Jennifer Petell is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Jennifer Petell located?
- Jennifer Petell's practice location on file with NPPES is 5908 Getwell Rd, Southaven, MS 38672-7317.
- What is Jennifer Petell's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Petell is (901) 536-4646.
- Does Jennifer Petell accept Medicare?
- Jennifer Petell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Petell's NPI active?
- Yes — Jennifer Petell's NPI (1710505268) is active in the NPPES registry as of the last update on 2025-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.