Jennifer Petell, PH.D IN CLINICAL PSY
NPI 1710505268ActiveIndividual· Psychologist· Southaven, MS
Psychologist (PH.D IN CLINICAL PSY) with Primary Care Group, LLC, practicing in Southaven, Mississippi. Enrolled in Medicare as practitioner - clinical psychologist and practitioner - clinical psychologist. Lists Methodist Healthcare - Olive Branch Hospital as a hospital affiliation.
Overview
| NPI | 1710505268 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D IN CLINICAL PSY |
| Sole proprietor | No |
| NPI issued | Jul 10, 2020 |
| Last updated in NPPES | Sep 30, 2025 |
| Certified by provider | Sep 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 641185 | MS |
| Counselor, Mental Health | 101YM0800X | — | — |
| Psychologist | 103T00000X | 4107 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MS); Practitioner - Clinical Psychologist (TN) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Primary Care Group, LLCMemphis, TN · 112 clinicians
Hospital affiliation
- Methodist Healthcare - Olive Branch HospitalOlive Branch, MS
Other Psychologist providers in Southaven
- 1568093912
- 1356548549
- 1023087350