SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC
NPI 1487950564
Psychologist - Health in Hattiesburg, MS

Active since February 07, 2011
1 COMMERCE DR, STE 106, HATTIESBURG, MS 39402(601) 255-1618(601) 255-1619 Get Directions Write a Review

NPPES record last updated: January 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Behavioral Medicine Associates Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC (NPI 1487950564) is a healthcare organization registered as a health in Hattiesburg, Mississippi and active in the NPI registry since February 2011. The organization lists Geralyn Datz, Clinical Director/owner, as its authorized official.

NPPES Registry Identity

NPI1487950564
Entity TypeOrganization
Primary Taxonomy103TH0004X
Legal Business NameSOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC
Location Address1 COMMERCE DR, STE 106Hattiesburg, MS 39402-1499
Mailing AddressPo Box 18799Hattiesburg, MS 39404-8799 · (601) 255-1618 · Fax (601) 255-1619
Fax(601) 255-1619
Organization SubpartNo
Authorized OfficialGeralyn DatzClinical Director/owner · (601) 255-1618
Enumeration DateFebruary 7, 2011
Last NPPES UpdateJanuary 15, 2013
NPI 1487950564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · HealthBehavioral Health & Social Service Providers
Taxonomy Code103TH0004X
Definition
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:
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
1 COMMERCE DR, Hattiesburg, MS 39402

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Prescribing (Medical))
1 COMMERCE DR, SUITE 205
HATTIESBURG, MS 39402
Social Worker
1 COMMERCE DR
HATTIESBURG, MS 39402
Psychologist (Health)
1 COMMERCE DR, STE 205
HATTIESBURG, MS 39402
Psychologist (Clinical)
1 COMMERCE DR, SUITE 205
HATTIESBURG, MS 39402

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 Southern Behavioral Medicine Associates PLLC's NPI number?

The NPI number for Southern Behavioral Medicine Associates PLLC is 1487950564. It was assigned to this organization in the NPPES registry on February 7, 2011.

Where is Southern Behavioral Medicine Associates PLLC located?

Southern Behavioral Medicine Associates PLLC is located at 1 Commerce Dr Ste 106, Hattiesburg, MS 39402. The listed phone number is (601) 255-1618.

What is Southern Behavioral Medicine Associates PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

What insurance does Southern Behavioral Medicine Associates PLLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Southern Behavioral Medicine Associates PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Behavioral Medicine Associates PLLC was last updated on January 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.