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

MIRACLE KIDS SUCCESS ACADEMY NORTH
NPI 1912813874
Psychologist - Clinical Child & Adolescent in Jonesboro, AR

Q: What is Miracle Kids Success Academy North's NPI number?

The NPI number for Miracle Kids Success Academy North is 1912813874. It was assigned to this organization in the NPPES registry on August 20, 2026.

Q: What is Miracle Kids Success Academy North'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

806 GLENDALE ST, JONESBORO, AR 72401(870) 333-2600(870) 300-2337 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 North NPPES

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

MIRACLE KIDS SUCCESS ACADEMY NORTH (NPI 1912813874) is a healthcare organization registered as a clinical child & adolescent in Jonesboro, Arkansas and active in the NPI registry since August 2026. The organization lists Shelly A. Keller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912813874

Entity TypeOrganization

Primary Taxonomy103TC2200X

Legal Business NameMIRACLE KIDS SUCCESS ACADEMY NORTH

Location Address806 GLENDALE STJonesboro, AR 72401-4455

Mailing Address806 Glendale StJonesboro, AR 72401-4455 · (870) 333-2600 · Fax (870) 300-2337

Phone(870) 333-2600

Fax(870) 300-2337

Organization SubpartNo

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

Enumeration DateAugust 20, 2026

NPPES CertifiedAugust 20, 2026

✔ NPI 1912813874 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.

806 GLENDALE ST, Jonesboro, AR 72401

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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.

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