Jennifer Petell, PH.D IN CLINICAL PSY

ActiveIndividual ProviderPsychologist
NPI issued: July 10, 2020

Quick Facts

NPI Number
1710505268
TypeIndividual
StatusActive
SpecialtyPsychologist
Taxonomy103T00000X — Psychologist
Phone
(901) 536-4646
StateMS

NPI Validation Status: Verified

Valid 10-digit NPI number (1710505268)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (July 10, 2020)
Data source: CMS NPPES

Provider Overview

JENNIFER PETELL, PH.D IN CLINICAL PSY is a Psychologist provider based in Southaven, MS who has been registered with CMS since 2020. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1710505268
Provider TypeIndividual Provider
GenderFemale
CredentialPH.D IN CLINICAL PSY
StatusActive
Enumeration DateJuly 10, 2020

Practice Location

CitySouthaven
StateMS
ZIP Code38672-7317
Phone(901) 536-4646

Specialties & Licenses

★ Primary
SpecialtyPsychologist
Taxonomy Code103T00000X
License StateMS

Mailing Address

CitySouthaven
StateMS
ZIP Code38672-7317
Phone(901) 536-4646
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1710505268 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1710505268for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1710505268 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Psychologist

Specialists in Psychologist provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
57,018
Psychologist Providers in the US

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People Also Ask

What is Jennifer Petell's NPI number?
Jennifer Petell's NPI number is 1710505268, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jennifer Petell's NPI currently active?
Yes, Jennifer Petell's NPI status is Active as of the latest CMS NPPES database updates.
What does Jennifer Petell specialize in?
Jennifer Petell specializes in Psychologist. The healthcare taxonomy code associated with this specialty is 103T00000X.
Where does Jennifer Petell practice?
Jennifer Petell practices in Southaven, MS 38672-7317.
When was Jennifer Petell's NPI issued?
Jennifer Petell's NPI was issued on July 10, 2020.
What is Jennifer Petell's provider type?
Jennifer Petell is registered as an Individual Provider under CMS NPI Type 1.