ALYSSA ELLIS KILLEBREW PH.D.
NPI 1306130125
Psychologist - Clinical in Ridgeland, MS

Q: What is Alyssa Killebrew's NPI number?

The NPI number for Alyssa Killebrew is 1306130125. It was assigned to this individual provider in the NPPES registry on June 9, 2011. The provider is also known as Alyssa E. Killebrew Phd.

Q: What is Alyssa Killebrew's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Killebrew was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since June 09, 2011PECOS EnrolledAccepts Medicare Assignment

241 SUNNYBROOK RD, RIDGELAND, MS 39157(601) 624-5912 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2024, Oct 19, 2018, Feb 12, 2016 and 1 more (4 updates tracked since 2015).

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About Alyssa Ellis Killebrew Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA ELLIS KILLEBREW PH.D. (NPI 1306130125) is an individual clinical provider in Ridgeland, Mississippi, licensed in Mississippi (54946) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1306130125

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameALYSSA ELLIS KILLEBREWCredential: PH.D.

Location Address241 SUNNYBROOK RDRidgeland, MS 39157-2206

Mailing Address210 W Jackson StRidgeland, MS 39157-2312 · (601) 750-6102 · Fax (601) 707-7291

Phone(601) 624-5912

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateJune 9, 2011

Last NPPES UpdateDecember 20, 20244 updates tracked since enumeration

NPPES CertifiedDecember 17, 2024

✔ NPI 1306130125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MS · 54946

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

241 SUNNYBROOK RD, Ridgeland, MS 39157

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Other Names 1

Other Name (5)Alyssa E. Killebrew Phd

Secondary Practice Locations 2

Location 1133 Berry LnMadison, MS 39110-8616 · Phone (601) 750-6102

Location 2210 W Jackson StRidgeland, MS 39157-2312 · Phone (601) 750-6102 · Fax (601) 707-7291

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alyssa Ellis Killebrew Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052633294

PECOS Enrollment IDI20141125001874

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

231 services41 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

32 services31 patients

Evaluation of psychological test, each additional hour 96131

This service involves additional hours spent on assessing psychological tests. It helps to understand your mental health better, identifying any potential issues or disorders. It's a crucial step in creating an effective treatment plan.

28 services14 patients

Evaluation of psychological test, first hour 96130

This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.

17 services17 patients

Administration of psychological or neuropsychological test, first 30 minutes 96136

This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39157 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$159.18 typical visit price

range $51.65 – $159.18

Typical copayment $39.79 (range $12.91 – $39.79)

Most-billed visit code 99205

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DYLAN VARNER

Counselor (Mental Health)