Ellen S. Brackup, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

697 Issued in GA

Practice address

1251 Apple Valley Rd NE
Atlanta, GA 30319-5424

Phone

(404) 231-4455

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 15, 2015 through May 15, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1720109317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 APPLE VALLEY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303195424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 APPLE VALLEY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303195424",
            "telephone_number": "404-231-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKUP",
        "first_name": "ELLEN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "697",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "697",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Sigmund Brachman Jr., MD
• Mark Edward Brachmanski, OD
• Amber Brackett
• Emily Elise Brackett, PT
• Bonnie G Brackin, CRNA
• Cara Ann Bradberry, PNP
• Christy Greer Bradberry, PHARMD
• Emily Coonce Bradburn, CRNA
• Thomas Lane Bradbury Jr., MD
• Iulia Ioana Bradeanu

• Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.