ELLINOR R BURKE PH.D.
NPI 1821095399
Psychologist in Saint Marys, GA

Active since June 30, 2005PECOS Enrolled
1201 SHADOWLAWN DR STE 101, SAINT MARYS, GA 31558(912) 744-0993(912) 744-0993 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellinor R Burke Ph.d. NPPES

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

ELLINOR R BURKE PH.D. (NPI 1821095399) is an individual psychologist in Saint Marys, Georgia, licensed in Georgia (PSY003747) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Marys.

NPPES Registry Identity

NPI1821095399
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameELLINOR R BURKECredential: PH.D.
Location Address1201 SHADOWLAWN DR STE 101Saint Marys, GA 31558-4074
Mailing AddressPo Box 5099Saint Marys, GA 31558-5099 · (912) 882-3662 · Fax (912) 882-7720
Fax(912) 744-0993
Sole ProprietorYes
Enumeration DateJune 30, 2005
Last NPPES UpdateJuly 1, 2020
NPPES CertifiedJuly 1, 2020
NPI 1821095399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in GA · PSY003747 Licensed in NJ · PSY003747 Licensed in NJ · 35SI00313400
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1201 SHADOWLAWN DR STE 101, Saint Marys, GA 31558

Secondary Practice Location 1

Location 110545 Colerain RdSaint Marys, GA 31558-3720 · Phone (912) 882-3662 · Fax (912) 882-7720

Other Identifiers 1

Medicaid6248306NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ellinor R Burke Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Ellinor Burke's NPI number?

The NPI number for Ellinor Burke is 1821095399. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Ellinor Burke located?

Ellinor Burke practices at 1201 Shadowlawn Dr Ste 101, Saint Marys, GA 31558. The listed phone number is (912) 744-0993.

What is Ellinor Burke's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Ellinor Burke enrolled in Medicare?

Yes. Ellinor Burke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ellinor Burke was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.