Jennifer Petell, PH.D IN CLINICAL PSY
Psychologist · Southaven, MS
Jennifer Petell, PH.D IN CLINICAL PSY is a psychologist with a practice address in Southaven, Mississippi, and NPI 1710505268, issued on Jul 10, 2020. Check the license (Mississippi 641185, as entered in NPPES) with the Mississippi board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jennifer Petell
- Credential
- PH.D IN CLINICAL PSY
- Primary taxonomy
- Psychologist 103T00000X
- License numbers
- 641185 MS
4107 TN
Self-reported in NPPES; status is on the state search - Practice location
- 5908 Getwell RD, Southaven, MS 38672
- Phone
- (901) 536-4646
- Enumerated
- Jul 10, 2020
- Record last updated
- Sep 30, 2025
- Fax
- (662) 536-4443
- Medicare enrollment
- Enrolled (PECOS I20240722003603); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
Also registered at 5908 Getwell RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Tatiana Campbell, LPCProfessional Counselor1720865793
- Walter Carnahan, DOFamily Medicine Physician1174501449
- Ratika Gunturi, D.OFamily Medicine Physician1831439595
- Emmily Hurdle, FNPFamily Nurse Practitioner1881072387
- Patricia Lewis, FNP-CFamily Nurse Practitioner1568727352
Verify Jennifer Petell in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license 641185Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Primary Care Group, LLCOlive Branch, MS
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Psychologist providers in Mississippi
There are 128 psychologist records in Mississippi.
Other psychologist records in Mississippi
- Robert Adams, MDJackson, MS1003830563
- Joseph Alexander, PHDTupelo, MS1942248208
- Brittney Assavedo, PH.D.Jackson, MS1154981959
- Courtney Bagge, PH.D.Jackson, MS1942525787
- Daniel Barnes, PHDJackson, MS1548771611
- Martha Baty, PH.D.Hattiesburg, MS1811107816
- Frank BaughHattiesburg, MS1619489861
- Mitchell Berman, PH.D.Mississippi State, MS1912706177
- Jan Boggs, PH.D.Meridian, MS1285856112
- Jeannette Bolte, PHDPass Christian, MS1558465831
Common questions
What is Jennifer Petell, PH.D IN CLINICAL PSY's NPI number?
Jennifer Petell, PH.D IN CLINICAL PSY's National Provider Identifier (NPI) is 1710505268, issued on Jul 10, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Jennifer Petell, PH.D IN CLINICAL PSY located?
The NPPES record lists a practice address at 5908 Getwell RD, Southaven, MS, 38672. Phone: (901) 536-4646. Providers update this record themselves, so call before visiting.
How can I verify Jennifer Petell, PH.D IN CLINICAL PSY's license?
NPPES lists Mississippi license number 641185, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.