Organization Active NPI

Yoshitaro Oba, PH.D., P.C.

  • Community/Behavioral Health Agency
  • Johns Creek, GA
National Provider Identifier
1316553274
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YOSHITARO OBA, PH.D., P.C.
Practice address
10475 Medlock Bridge Rd Ste 315
Johns Creek, GA 30097-4446
Phone
(678) 935-9567
Fax
(678) 935-9568
NPI assigned
Sep 16, 2020
Last updated
Apr 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Dr. Yoshitaro Oba, PHDNPI 1265950851
Title
Psychologist
Phone
(816) 217-1254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

10475 Medlock Bridge Rd Ste 315
Johns Creek, GA 30097-4446

Mailing address

10475 Medlock Bridge Rd Ste 315
Johns Creek, GA 30097-4446
Phone (678) 935-9567

Other identifiers 1

IdentifierTypeStateIssuer
003194485AMedicaidGA

National Provider Directory

National Provider Directory

Locations

2308 Perimeter Park Dr
Ste 100
Atlanta, GA 30341
Phone (770) 457-5577

10475 Medlock Bridge Rd
Ste 315
Johns Creek, GA 30097
Phone (678) 935-9567

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1316553274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 MEDLOCK BRIDGE RD STE 315",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974446",
            "telephone_number": "678-935-9567",
            "fax_number": "678-935-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 MEDLOCK BRIDGE RD STE 315",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974446",
            "telephone_number": "678-935-9567",
            "fax_number": "678-935-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOSHITARO OBA, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "OBA",
        "authorized_official_first_name": "YOSHITARO",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "816-217-1254",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003194485A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.