YOSHITARO OBA
NPI 1265950851
Psychologist in Johns Creek, GA
About Yoshitaro Oba NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YOSHITARO OBA (NPI 1265950851) is an individual psychologist in Johns Creek, Georgia, licensed in Georgia (PY004118) and active in the NPI registry since September 2017. He has opted out of Medicare through April 1, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Yoshitaro Oba has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JOHNS CREEK, GA 30097
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Yoshitaro Oba's NPI number?
The NPI number for Yoshitaro Oba is 1265950851. It was assigned to this individual provider in the NPPES registry on September 2, 2017.
Where is Yoshitaro Oba located?
Yoshitaro Oba practices at 10475 Medlock Bridge Rd Ste 315, Johns Creek, GA 30097. The listed phone number is (678) 935-9567.
What is Yoshitaro Oba's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Yoshitaro Oba enrolled in Medicare?
No. Yoshitaro Oba has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Yoshitaro Oba was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.