IndividualActive
Dominik Keller, PHD
NPI 1710627922 · School Psychologist · Southaven, MS
Provider details
- NPI number
- 1710627922
- Entity type
- Individual
- Primary specialty
- School PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 621149 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
5915 Getwell Rd Bldg B
Southaven, MS 38672-6455
Phone: (662) 349-2979
Street-level locationGet directions
Mailing address
5915 Getwell Rd Bldg B
Southaven, MS 38672-6455
Additional practice locations (1)
- 41 Pacella Park DrRandolph, MA 02368-1755Phone: (781) 437-1381
Registry dates
- Enumerated
- 2022-03-29
- Last updated
- 2022-12-15
- Certified
- 2022-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.