DR. RANDY SCOTT BURKE PH.D. NPI 1336173905

NPI Information

  • NPI: 1336173905
  • Provider Name: DR. RANDY SCOTT BURKE, PH.D.
  • Classification: Psychologist - 103TA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1500 EAST WOODROW WILSON DRIVE
    ADDICTIVE DISORDERS TREATMENT PROGRAM (116A4), VAMC
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 362-4471

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NPI Details

DR. Randy Scott Burke, PH.D. is an addiction (substance use disorder) psychologist in Jackson, MS. The provider is 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. DR. Randy Scott Burke, PH.D. NPI is 1336173905. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 EAST WOODROW WILSON DRIVE
ADDICTIVE DISORDERS TREATMENT PROGRAM (116A4), VAMC
JACKSON, MS
ZIP 39216
Phone: (601) 362-4471
Fax: (601) 364-1298

The enumeration date for this NPI number is 7/10/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TA0400XPsychologistAddiction (Substance Use Disorder)40-13MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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