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DR. RANDY SCOTT BURKE PH.D.
NPI 1336173905
Psychologist - Addiction (Substance Use Disorder) in Jackson, MS

Active since July 10, 2006
1500 EAST WOODROW WILSON DRIVE, ADDICTIVE DISORDERS TREATMENT PROGRAM (116A4), VAMC, JACKSON, MS 39216(601) 362-4471(601) 364-1298 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Randy Scott Burke Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDY SCOTT BURKE PH.D. (NPI 1336173905) is an individual addiction (substance use disorder) provider in Jackson, Mississippi, licensed in Mississippi (40-13) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1336173905
Entity TypeIndividualMale
Primary Taxonomy103TA0400X
Provider Legal NameDR. RANDY SCOTT BURKECredential: PH.D.
Location Address1500 EAST WOODROW WILSON DRIVE, ADDICTIVE DISORDERS TREATMENT PROGRAM (116A4), VAMCJackson, MS 39216
Mailing Address409 Provision PkwyBrandon, MS 39042-7909 · (601) 362-4471 · Fax (601) 364-1298
Phone(601) 362-4471
Fax(601) 364-1298
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1336173905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
License✔ Licensed in MS · 40-13
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
1500 EAST WOODROW WILSON DRIVE, Jackson, MS 39216
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDRE' BADELLE ROBINSON OTR/L
Occupational Therapist
1500 EAST WOODROW WILSON DRIVE
JACKSON, MS 39216
Hinds County (601) 362-4471
MRS. CECILIA D FOWLER OT
Occupational Therapist
1500 EAST WOODROW WILSON DRIVE
JACKSON, MS 39216
Hinds County (601) 364-1295
MR. JESSE IVY GARRETT III
Pharmacist
1500 EAST WOODROW WILSON DRIVE
JACKSON, MS 39216
Hinds County (601) 364-1555
DR. SUSAN M HARRINGTON M.D.
Internal Medicine
1500 EAST WOODROW WILSON DRIVE
JACKSON, MS 39216
Hinds County (601) 362-4471
RUBY ELLIS DENSON NP
Nurse Practitioner (Family)
1500 EAST WOODROW WILSON DRIVE
JACKSON, MS 39216
Hinds County (601) 362-4471
CHOON-MAN JOSEPH KIM M.D.
Nuclear Medicine
1500 EAST WOODROW WILSON DRIVE, RADIOLOGY SERVICE, G.V. MONTGOMERY VA MEDICAL CENTER
JACKSON, MS 39216
Hinds County (601) 362-4471
MRS. SOMMER L RODRIGUE SPEECH PATHOLOGIST
Speech-Language Pathologist
1500 EAST WOODROW WILSON DRIVE, GV SONNY MONTGOMERY DEPARTMENT OF VETERANS AFFAIRS
JACKSON, MS 39216
Hinds County (601) 362-4471
DEPARTMENT OF VETERANS AFFAIRS
Dietitian, Registered
1500 EAST WOODROW WILSON DRIVE
JACKSON, MS 39216
Hinds County (601) 362-4471

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Burke's NPI number?

The NPI number for Randy Burke is 1336173905. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Randy Burke located?

Randy Burke practices at 1500 East Woodrow Wilson Drive Addictive Disorders Treatment Program (116a4), Vamc, Jackson, MS 39216. The listed phone number is (601) 362-4471.

What is Randy Burke's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for Randy Burke was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.