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

Dr. Ellen S. Brackup, PHD

Individual provider Psychologist · NPI 1720109317

Dr. Ellen S. Brackup, PHD is a Psychologist in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1251 Apple Valley Rd NE
Atlanta, GA 30319-5424
Phone: (404) 231-4455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 697 (GA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 697 (GA)

Record details

NPI number1720109317
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 2, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address1251 Apple Valley Rd Ne, Atlanta, GA 30319-5424

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