DR. GERALYN DATZ PHD NPI 1972616076

NPI Information

NPI: 1972616076
Provider Name: DR. GERALYN DATZ, PHD
Classification: Psychologist - 103TH0004X
Entity Type: Individual

Specialization: Health

PECOS Registration: Yes

Address:
1 COMMERCE DR
STE 205
HATTIESBURG, MS
ZIP 39402
Phone: (601) 255-1618
Get Directions

DR. Geralyn Datz, PHD is a health psychologist in Hattiesburg, MS with 20 years of experience. The provider is a psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:

DR. Geralyn Datz, PHD NPI is 1972616076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 COMMERCE DR
STE 205
HATTIESBURG, MS
ZIP 39402-499
Phone: (601) 255-1618
Fax: (601) 255-1619

The NPI 1972616076 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Psychiatric diagnostic evaluation (HCPCS:90791)
- Neuropsychological testing evaluation by qualified health care professional, first 60 minutes (HCPCS:96132)
The enumeration date for this NPI number is 8/16/2006 and was last updated on 11/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	45736	MISSISSIPPI	No
2	103TH0004X	Psychologist	Health	1140	LOUISIANA	No
3	103TC0700X	Psychologist	Clinical	1140	LOUISIANA	No
4	103TH0004X	Psychologist	Health	45-736	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	680000283	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI
2	06036275	MEDICAID	MISSISSIPPI
3	009933077	MEDICAID	ALABAMA
4	Q02510	MEDICARE UPIN	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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