Taban Salem, PH.D.
NPI 1366190423ActiveIndividual· Psychologist, Clinical· Ridgeland, MS
Psychologist, Clinical (PH.D.) with Killebrew Psychological Services LLC, practicing in Ridgeland, Mississippi. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1366190423 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Mar 16, 2022 |
| Last updated in NPPES | Nov 19, 2024 |
| Certified by provider | Nov 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 611103 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MS) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Killebrew Psychological Services LLCRidgeland, MS · 15 clinicians
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All 16 clinical psychologists in Ridgeland · All clinical psychologists in Mississippi