KILLEBREW PSYCHOLOGICAL SERVICES, LLC
NPI 1073988051
Psychologist in Madison, MS
About Killebrew Psychological Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KILLEBREW PSYCHOLOGICAL SERVICES, LLC (NPI 1073988051) is a healthcare organization registered as a psychologist in Madison, Mississippi and active in the NPI registry since December 2015. The organization maintains a secondary practice location in Ridgeland and lists Alyssa E. Killebrew, Clinical Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Killebrew Psychological Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Killebrew Psychological Services, LLC, which bills Medicare for the services they deliver. Of these, 11 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (17)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Killebrew Psychological Services, LLC's NPI number?
The NPI number for Killebrew Psychological Services, LLC is 1073988051. It was assigned to this organization in the NPPES registry on December 2, 2015.
Where is Killebrew Psychological Services, LLC located?
Killebrew Psychological Services, LLC is located at 133 Berry Ln, Madison, MS 39110. The listed phone number is (601) 750-6102.
What is Killebrew Psychological Services, LLC's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Killebrew Psychological Services, LLC enrolled in Medicare?
Yes. Killebrew Psychological Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Killebrew Psychological Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Killebrew Psychological Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (11), Clinical Psychologist (3) and Clinical Social Worker (3). Of these, 11 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Killebrew Psychological Services, LLC was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.