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CICELY C. TARAVELLA PH.D.
NPI 1376894212
Psychologist - Clinical in Jackson, MS

Active since October 01, 2012
1500 E WOODROW WILSON AVE, TRP/MENTAL HEALTH (116A2), JACKSON, MS 39216(601) 362-4471 Get Directions Write a Review

NPPES record last updated: October 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cicely C. Taravella Ph.d. NPPES

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

CICELY C. TARAVELLA PH.D. (NPI 1376894212) is an individual clinical provider in Jackson, Mississippi, licensed in Mississippi (52903) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1376894212
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameCICELY C. TARAVELLACredential: PH.D.
Location Address1500 E WOODROW WILSON AVE, TRP/MENTAL HEALTH (116A2)Jackson, MS 39216-5116
Mailing Address1500 E Woodrow Wilson Ave, Trp/mental Health (116a2)Jackson, MS 39216-5116 · (601) 362-4471
Phone(601) 362-4471
Sole ProprietorNo
Enumeration DateOctober 1, 2012
✔ NPI 1376894212 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 · 52903
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.
1500 E WOODROW WILSON AVE, Jackson, MS 39216
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Other Providers at the Same Location NPPES 20

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

MELISSA ALLENE GRAIG RN
Registered Nurse
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
DR. ELIZABETH NOSEN PH.D.
Psychologist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
WHITNEY ROWELL GERBER
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 364-1352
MS. SANDRA TERRY-TURNER RPH
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
MR. GLENN D SHAW R.PH.
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 364-1555
MRS. ANGELA A. CAUSEY MS, RD
Dietitian, Registered
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
SONNY MONTGOMERY V A M EDICAL CENTER
Chronic Disease Hospital
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
MRS. MOLLY WILLIS HOKE LCSW
Social Worker (Clinical)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 352-4471

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 Cicely Taravella's NPI number?

The NPI number for Cicely Taravella is 1376894212. It was assigned to this individual provider in the NPPES registry on October 1, 2012.

Where is Cicely Taravella located?

Cicely Taravella practices at 1500 E Woodrow Wilson Ave Trp/Mental Health (116a2), Jackson, MS 39216. The listed phone number is (601) 362-4471.

What is Cicely Taravella's specialty?

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

When was this NPI record last updated?

The NPPES record for Cicely Taravella was last updated on October 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.