Individual provider Active NPI

Gregory Obert, PH.D., LCPC

  • Clinical Psychologist
  • Hattiesburg, MS
National Provider Identifier
1063863629
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
641183 Issued in MS
Practice address
7 Professional Pkwy Ste 101
Hattiesburg, MS 39402-2648
Phone
(872) 213-5546
NPI assigned
Jun 24, 2016
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180013378 IL
Clinical Psychologist 103TC0700X 641183 MS Primary

Addresses

Primary practice location

7 Professional Pkwy Ste 101
Hattiesburg, MS 39402-2648

Mailing address

106 Covington CT
Ridgeland, MS 39157-8706
Phone (601) 809-5324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
180013378ILMDMental Health Counselor
641183MSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Oasis Psychotherapy Institute CurrentSince Jun 3, 2025 Accepting new patients

Locations

7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1063863629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 COVINGTON CT",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578706",
            "telephone_number": "601-809-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PROFESSIONAL PKWY STE 101",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022648",
            "telephone_number": "872-213-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERT",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180013378",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "641183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.