KILLEBREW PSYCHOLOGICAL SERVICES, LLC
NPI 1073988051
Psychologist in Madison, MS

Active since December 02, 2015
133 BERRY LN, MADISON, MS 39110(601) 750-6102 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2024, Feb 3, 2022, Dec 2, 2015 (3 updates tracked since 2015).

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

NPI1073988051
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameKILLEBREW PSYCHOLOGICAL SERVICES, LLC
Location Address133 BERRY LNMadison, MS 39110-8616
Mailing Address133 Berry LnMadison, MS 39110-8616 · (601) 750-6102
Organization SubpartNo
Authorized OfficialAlyssa E. KillebrewClinical Psychologist · (601) 750-6102
Enumeration DateDecember 2, 2015
Last NPPES UpdateFebruary 3, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
NPI 1073988051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MS · 54946
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 54946 (MS)
Also ListedHealth Maintenance OrganizationTaxonomy 302R00000X · License 54946 (MS)
133 BERRY LN, Madison, MS 39110

Secondary Practice Location 1

Location 1210 W Jackson StRidgeland, MS 39157-2312 · Phone (769) 231-9414

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.

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.