NPIMap

Organization Active NPI

Geralyn Datz PHD

  • Health Psychologist
  • Hattiesburg, MS
National Provider Identifier
1891003331
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
Legal business name
GERALYN DATZ PHD
Practice address
502 Court St
Hattiesburg, MS 39401-3944
Phone
(601) 434-9402
NPI assigned
Sep 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Authorized official

Name
Dr. Geralyn Datz, PHDNPI 1972616076
Title
Owner
Phone
(601) 434-9402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TH0004X Primary

Addresses

Primary practice location

502 Court St
Hattiesburg, MS 39401-3944

Mailing address

502 Court St
Hattiesburg, MS 39401-3944

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1891003331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 COURT ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 COURT ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013944",
            "telephone_number": "601-434-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALYN DATZ PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "DATZ",
        "authorized_official_first_name": "GERALYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-434-9402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "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 Feb 7, 2011; 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.