Dr. Jerome Yelder SR., PHDPSYDMBAMSMP
Prescribing (Medical) Psychologist in Columbia, South Carolina
NPI 1548551278
Jerome Yelder SR. is a Prescribing (Medical) Psychologist based in Columbia, SC and is specialized in Prescribing (Medical). Jerome Yelder SR. practices in Columbia, SC and has the professional credentials of PHDPSYDMBAMSMP. The NPI Number for Jerome Yelder SR. is 1548551278 and holds a License No. 45428 (South Carolina).
The current practice location address for Jerome Yelder SR. is 1101 Belleview St Ste 104, Columbia, SC and can be reached out via phone at 803-937-1623 and via fax at 803-937-1623. You can also correspond with Jerome Yelder SR. through the mailing address at 1101 BELLEVIEW ST STE 104, COLUMBIA, SC - 29201-1863 (mailing address contact number: 803-937-1623).
Location: 1101 Belleview St Ste 104, Columbia, SC, 29201-1863
Provider Profile Details
NPI Number
1548551278
Provider Name
Jerome Yelder SR.
Credential
PHDPSYDMBAMSMP
Provider Entity Type
Individual
Gender
Male
Address
1101 Belleview St Ste 104, Columbia, SC, 29201-1863
Phone Number
803-937-1623
Fax Number
803-937-1623
Provider Enumeration Date
04/28/2011
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP7839 | 05 | SC | |
| 273614612 | 05 | SC |
Provider Business Practice Location Address Details
Address
1101 Belleview St Ste 104
City
State
Zip
29201-1863
Phone Number
803-937-1623
Fax Number
803-937-1623
Provider Business Mailing Address Details
Address
1101 Belleview St Ste 104
City
State
Zip
29201-1863
Phone Number
803-937-1623
Fax Number
803-937-1623
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
159AMP (South Carolina)
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
159AMP (South Carolina)
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
License No.
5768 (South Carolina)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
License No.
73276 (South Carolina)
Definition
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.
Provider's Taxonomy Details 5
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
73276 (South Carolina)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Provider's Taxonomy Details 6
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
License No.
159AMP (South Carolina)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Provider's Taxonomy Details 7
Type
Other Service Providers
Classification
Health Educator
Speciality
-
Taxonomy
License No.
573768 (South Carolina)
Definition
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.
Provider's Taxonomy Details 8
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
License No.
61388 (South Carolina)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Provider's Taxonomy Details 9
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
License No.
45428 (South Carolina)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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