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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MIRACLE KIDS SUCCESS ACADEMY, INC.
NPI 1487575130
Psychologist - Clinical Child & Adolescent in Jonesboro, AR

Active since July 21, 2026
1900 STILLWATER DR, JONESBORO, AR 72404(870) 932-3600 Get Directions Write a Review

NPPES record added: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miracle Kids Success Academy, Inc. NPPES

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

MIRACLE KIDS SUCCESS ACADEMY, INC. (NPI 1487575130) is a healthcare organization registered as a clinical child & adolescent in Jonesboro, Arkansas and active in the NPI registry since July 2026. The organization lists Shelly A. Keller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487575130
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameMIRACLE KIDS SUCCESS ACADEMY, INC.
Location Address1900 STILLWATER DRJonesboro, AR 72404-9119
Mailing Address1900 Stillwater DrJonesboro, AR 72404-9119 · (870) 932-3600
Phone(870) 932-3600
Organization SubpartNo
Authorized OfficialShelly A. KellerCeo · (870) 932-3600
Enumeration DateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
✔ NPI 1487575130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
1900 STILLWATER DR, Jonesboro, AR 72404
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

SAMANTHA BROOKE CARMICHAEL
Occupational Therapy Assistant
1900 STILLWATER DR
JONESBORO, AR 72404
Craighead County (870) 932-3600
PAULA LONG
Day Training/Habilitation Specialist
1900 STILLWATER DR
JONESBORO, AR 72404
Craighead County (870) 932-3600
JENNIFER CLARK GARDNER OTR/L
Occupational Therapist
1900 STILLWATER DR
JONESBORO, AR 72404
Craighead County (870) 932-3600
JAMY COUSINS MS, OTR/L
Occupational Therapist
1900 STILLWATER DR
JONESBORO, AR 72404
Craighead County (870) 932-3600
MRS. SHANDA DESHA ROGERS P.T.
Physical Therapist
1900 STILLWATER DR
JONESBORO, AR 72404
Craighead County (870) 932-3600
JACQUELYN BURKE
Day Training/Habilitation Specialist
1900 STILLWATER DR
JONESBORO, AR 72404
Craighead County (870) 932-3600
MRS. KAITLIN STOBER CCTP, LPC
Counselor (Mental Health)
1900 STILLWATER DR
JONESBORO, AR 72404
Craighead County (870) 932-3600
XEE LEE
Day Training/Habilitation Specialist
1900 STILLWATER DR
JONESBORO, AR 72404
Craighead County (870) 932-3600

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 Miracle Kids Success Academy, Inc.'s NPI number?

The NPI number for Miracle Kids Success Academy, Inc. is 1487575130. It was assigned to this organization in the NPPES registry on July 21, 2026.

Where is Miracle Kids Success Academy, Inc. located?

Miracle Kids Success Academy, Inc. is located at 1900 Stillwater Dr, Jonesboro, AR 72404. The listed phone number is (870) 932-3600.

What is Miracle Kids Success Academy, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Miracle Kids Success Academy, Inc. was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.