JENNIFER PETELL PH.D IN CLINICAL PSY
NPI 1710505268
Psychologist in Southaven, MS

Active since July 10, 2020PECOS EnrolledAccepts Medicare Assignment
5908 GETWELL RD, SOUTHAVEN, MS 38672(901) 536-4646(662) 536-4443 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2024, Sep 23, 2024, May 16, 2024 and 1 more (4 updates tracked since 2020).

About Jennifer Petell Ph.d In Clinical Psy NPPES

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

JENNIFER PETELL PH.D IN CLINICAL PSY (NPI 1710505268) is an individual psychologist in Southaven, Mississippi, licensed in Mississippi (641185) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Methodist Healthcare - Olive Branch Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1710505268
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJENNIFER PETELLCredential: PH.D IN CLINICAL PSY
Location Address5908 GETWELL RDSouthaven, MS 38672-7317
Mailing Address1211 Union Ave Ste 330Memphis, TN 38104-6655
Fax(662) 536-4443
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 10, 2020
Last NPPES UpdateSeptember 30, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
NPI 1710505268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in MS · 641185 Licensed in TN · 4107
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
5908 GETWELL RD, Southaven, MS 38672

Secondary Practice Locations 2

Location 16570 Summer Oaks CvBartlett, TN 38134-2857 · Phone (901) 536-4646 · Fax (662) 536-4443
Location 25480 Goodman Rd Ste 1Olive Branch, MS 38654-7902 · Phone (662) 874-6507 · Fax (662) 932-8197

Accepted 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

Jennifer Petell Ph.d In Clinical Psy 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 ID7416493838
PECOS Enrollment IDI20240722003603
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Healthcare - Olive Branch Hospital

Acute Care Hospitals · Olive Branch, MS
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250167
Location4250 Bethel RoadOlive Branch, MS 38654 · De Soto County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

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

Family Medicine
5908 GETWELL RD
SOUTHAVEN, MS 38672
Nurse Practitioner (Family)
5908 GETWELL RD
SOUTHAVEN, MS 38672
Counselor (Professional)
5908 GETWELL RD
SOUTHAVEN, MS 38672
Family Medicine
5908 GETWELL RD
SOUTHAVEN, MS 38672
Nurse Practitioner (Family)
5908 GETWELL RD
SOUTHAVEN, MS 38672

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 Jennifer Petell's NPI number?

The NPI number for Jennifer Petell is 1710505268. It was assigned to this individual provider in the NPPES registry on July 10, 2020.

Where is Jennifer Petell located?

Jennifer Petell practices at 5908 Getwell Rd, Southaven, MS 38672. The listed phone number is (901) 536-4646.

What is Jennifer Petell's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jennifer Petell enrolled in Medicare?

Yes. Jennifer Petell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Petell accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Health Plan, Inc. and UnitedHealthcare list Jennifer Petell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jennifer Petell affiliated with any hospitals?

According to CMS data, Jennifer Petell is affiliated with Methodist Healthcare - Olive Branch Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Petell was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.