Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEROME YELDER SR., PHD PSYD MBA MS MP
DeactivatedDR. JEROME YELDER SR., PHD PSYD MBA MS MP is a Prescribing Psychologist healthcare provider located in COLUMBIA, South Carolina. NPI 1548551278 is deactivated in the NPPES registry. Verify at CMS.
Prescribing Psychologist · COLUMBIA, SC
This NPI has been deactivated.
The record was deactivated on May 10, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1548551278
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2011 (9.0328767123288 yrs)
- Last Updated
- Jul 8, 2020
- Deactivated
- May 10, 2020
- Licenses
-
45428 (SC)61388 (SC)573768 (SC)159AMP (SC)73276 (SC)
Practice Information
- Address
-
1101 BELLEVIEW ST STE 104COLUMBIA, SC, 292011863Browse SC providers · Browse ZIP 29201
- Phone
- 8039371623
- Fax
- 8039371623
- Primary Specialty
-
Prescribing Psychologist
103TP0016X
- Additional Specialty
- Pastoral Counselor
- Additional Specialty
- Clinical Neuropsychologist
- Additional Specialty
- Military Health Care Provider
- Additional Specialty
- Contractor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.