Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MIRACLE KIDS SUCCESS ACADEMY OF TRUMANN
NPI 1538075403
Psychologist - Clinical Child & Adolescent in Trumann, AR

Q: What is Miracle Kids Success Academy Of Trumann's specialty?

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

Active since August 20, 2026

1005 BALCOM LN, TRUMANN, AR 72472(870) 481-0779(877) 481-0779 Get Directions Write a Review

NPPES record added: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Miracle Kids Success Academy Of Trumann NPPES

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

MIRACLE KIDS SUCCESS ACADEMY OF TRUMANN (NPI 1538075403) is a healthcare organization registered as a clinical child & adolescent in Trumann, Arkansas and active in the NPI registry since August 2026. The organization lists Shelly A. Keller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1538075403

Entity TypeOrganization

Primary Taxonomy103TC2200X

Legal Business NameMIRACLE KIDS SUCCESS ACADEMY OF TRUMANN

Location Address1005 BALCOM LNTrumann, AR 72472-9502

Mailing Address1005 Balcom LnTrumann, AR 72472-9502 · (870) 481-0779 · Fax (877) 481-0779

Phone(870) 481-0779

Fax(877) 481-0779

Organization SubpartNo

Authorized OfficialShelly A. KellerCeo · (870) 932-3600

Enumeration DateAugust 20, 2026

NPPES CertifiedAugust 20, 2026

✔ NPI 1538075403 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.

1005 BALCOM LN, Trumann, AR 72472

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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.

MORGAN L COOK

Case Manager/Care Coordinator