Individual provider Active NPI

Robert Daniel Obst, PSYD

  • Psychologist
  • Atlanta, GA
National Provider Identifier
1114072188
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
915 Issued in GA
Practice address
1 Glenlake Pkwy NE
Suite 1045
Atlanta, GA 30328-3448
Phone
(770) 399-9299
Fax
(770) 399-5499
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 915 GA Primary

Addresses

Primary practice location

1 Glenlake Pkwy NE
Suite 1045
Atlanta, GA 30328-3448

Mailing address

2890 Laurel Green CT
Roswell, GA 30076-2493
Phone (770) 399-9299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050422000979 GA Practitioner - Clinical Psychologist 1456399005 Practice locations: Atlanta, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6065 Lake Forrest Dr
Suite 190
Atlanta, GA 30328-3844
Phone (770) 399-9299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
915GAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carol a. Harpe, M.D. P.a. PastSince Mar 1, 1992 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114072188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 LAUREL GREEN CT",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762493",
            "telephone_number": "770-399-9299",
            "fax_number": "770-399-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GLENLAKE PKWY NE",
            "address_2": "SUITE 1045",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283448",
            "telephone_number": "770-399-9299",
            "fax_number": "770-399-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBST",
        "first_name": "ROBERT",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.