Active NPI
Yoshitaro Oba, PH.D., P.C.
- Community/Behavioral Health Agency
- Johns Creek, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yoshitaro Oba, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003194485A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychologist
- Johns Creek, GA
- NPI 1265950851
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.