DR. JEROME YELDER PHD PSYD MBA MS MP NPI 1548551278

NPI Information

NPI: 1548551278
Provider Name: DR. JEROME YELDER, PHD PSYD MBA MS MP
Classification: Psychologist - 103TP0016X
Entity Type: Individual

Specialization: Prescribing (Medical)

Address:
1101 BELLEVIEW ST STE 104
COLUMBIA, SC
ZIP 29201
Phone: (803) 937-1623
Get Directions

DR. Jerome Yelder, PHD PSYD MBA MS MP is a prescribing (medical) psychologist in Columbia, SC. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. DR. Jerome Yelder, PHD PSYD MBA MS MP NPI is 1548551278. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1101 BELLEVIEW ST STE 104
COLUMBIA, SC
ZIP 29201-863
Phone: (803) 937-1623
Fax: (803) 937-1623

The enumeration date for this NPI number is 4/28/2011 and was last updated on 7/8/2020.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	45428	SOUTH CAROLINA	No
2	101YP1600X	Counselor	Pastoral	61388	SOUTH CAROLINA	No
3	103G00000X	Clinical Neuropsychologist		573768	SOUTH CAROLINA	No
4	103TP0016X	Psychologist	Prescribing (Medical)	159AMP	SOUTH CAROLINA	Yes
5	171000000X	Military Health Care Provider		159AMP	SOUTH CAROLINA	No
6	171W00000X	Contractor		73276	SOUTH CAROLINA	No
7	174H00000X	Health Educator		73276	SOUTH CAROLINA	No
8	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	5768	SOUTH CAROLINA	No
9	208VP0014X	Pain Medicine	Interventional Pain Medicine	159AMP	SOUTH CAROLINA	No

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	Other Provider Identifier Issuer
1	GP7839	MEDICAID	SOUTH CAROLINA
2	273614612	MEDICAID	SOUTH CAROLINA

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »