Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Petell, PHDINCLINICALPSY

Individual provider Psychologist · NPI 1710505268

Jennifer Petell, PHDINCLINICALPSY is a Clinical Psychologist in Southaven, Mississippi. Qualified in 2023, 3 years ago. Practices with Primary Care Group, LLC, a 109-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Mississippi and Tennessee.

Years since qualifying
3
Licensed in
MS, TN
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

5908 Getwell Rd
Southaven, MS 38672-7317
Phone: (901) 536-4646
Fax: (662) 536-4443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5480 Goodman Rd Ste 1, Olive Branch, MS 38654-7902 — (662) 874-6507
  • 6570 Summer Oaks Cv, Bartlett, TN 38134-2857 — (901) 536-4646

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 641185 (MS)
Mental Health Counselor Taxonomy 101YM0800X
Psychologist Taxonomy 103T00000X · Licence 4107 (TN)

Record details

NPI number1710505268
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDINCLINICALPSY
Sole proprietorNo
NPI enumeratedJuly 10, 2020
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Primary Care Group, Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Southaven