Ira Burnett
Individual provider Active NPI Health Service Psychologist · Pearl, MS
NPI 1104747120 · NPPES record last updated Jul 24, 2026
Key facts
- NPI
- 1104747120
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Service Psychologist 103TH0100X
- License
- 011707001029 (MS)
- Practice address
- 875 Ms-475
Pearl, MS 39208 - Phone
- (601) 664-6000
- NPI assigned
- Jul 24, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 011707001029 | MS | Yes |
Addresses
Primary practice location
875 Ms-475
Pearl, MS 39208
Mailing address
5330 N State St Lot 118
Jackson, MS 39206-3458
Phone (601) 937-9774
Other providers in Pearl, MS
- Lorin Jessica Brown
- Romesha Deshawn Brown
- Hannah Dye Browning
- Bryant Physical Therapy and Wellness
- Heather Bullock
- Elizabeth Baxter Busching
- C & C Nursing Company
- Brian Scott Callahan
- Edward Scott Callihan
- Justin Cantrelle
All providers in Pearl, MS · Health Service Psychologist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.