Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Geralyn Datz, PHD

Individual provider Clinical Psychologist · NPI 1972616076

Dr. Geralyn Datz, PHD is a Clinical Psychologist in Hattiesburg, Mississippi. Qualified in 2004, 22 years ago. Practices with Southern Behavioral Medicine Associates PLLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Louisiana and Mississippi.

Years since qualifying
22
Licensed in
LA, MS
In the registry since
2006
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1 Commerce Dr Ste 205
Hattiesburg, MS 39402-1499
Phone: (601) 255-1618
Fax: (601) 255-1619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Psychologist (primary) Taxonomy 103TH0004X · Licence 45-736 (MS)
Clinical Psychologist Taxonomy 103TC0700X · Licence 45736 (MS)
Clinical Psychologist Taxonomy 103TC0700X · Licence 1140 (LA)
Health Psychologist Taxonomy 103TH0004X · Licence 1140 (LA)

Record details

NPI number1972616076
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 16, 2006
Last updated in NPPESNovember 30, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Southern Behavioral Medicine Associates Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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