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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ELLEN S. BRACKUP, PH.D.

Active Sole Proprietor

DR. ELLEN S. BRACKUP, PH.D. is a Psychologist healthcare provider located in ATLANTA, Georgia. NPI 1720109317 is currently active in the NPPES registry. Verify at CMS.

Psychologist · ATLANTA, GA

Registration Details

NPI Number
1720109317
Provider Type
Individual
Gender
Female
NPI Issued
Apr 2, 2007 (19.398090010976 yrs)
Last Updated
Sep 11, 2025
Licenses
697 (GA)
697 (GA)
Sole Proprietor
Yes

Practice Information

Address
1251 APPLE VALLEY RD NE
ATLANTA, GA, 303195424
Browse GA providers · Browse ZIP 30319
Phone
4042314455
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Clinical Psychologist

Other Psychologist Providers in ATLANTA, GA

Name Credential NPI
DR. CHARLES A. DILLION PHD 1336126507
GERRI BETH GOODMAN PH D 1114997608
ALCUIN Q JOHNSON PHD 1588622807
BRENDA J WAGNER PHD 1083663272
DR. SHERRY S MCHENRY PH.D. 1346299310
JACQUELINE KIEFEL PHD 1295782621
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.