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NPISignal

Individual Healthcare Provider

Jerome Yelder, PHD PSYD MBA MS MP

NPI Record: ActivePsychologist — Prescribing (Medical)
NPI1548551278
Columbia, South Carolina

Provider's NPPES record last updated: July 8, 2020

Overview

Entity Type
Individual Healthcare Provider
NPI
1548551278
Primary Specialty
Psychologist — Prescribing (Medical)
Practice Location
Columbia, South Carolina
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 7:31 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychologist

    Prescribing (Medical)

    Behavioral Health & Social Service Providers

    Primary

    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.

    Taxonomy code 103TP0016X
  • Counselor

    Addiction (Substance Use Disorder)

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YA0400X
  • Counselor

    Pastoral

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YP1600X
  • Clinical Neuropsychologist

    Behavioral Health & Social Service Providers

    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.

    Taxonomy code 103G00000X
  • Military Health Care Provider

    Other Service Providers

    Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

    Taxonomy code 171000000X
  • Contractor

    Other Service Providers

    For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

    Taxonomy code 171W00000X
  • Health Educator

    Other Service Providers

    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.

    Taxonomy code 174H00000X
  • Pharmacist

    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

    Pharmacy Service Providers

    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.

    Taxonomy code 1835P0018X
  • Pain Medicine

    Interventional Pain Medicine

    Allopathic & Osteopathic Physicians

    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.

    Taxonomy code 208VP0014X

Provider-Reported License Information

Psychologist (South Carolina)
159AMP
Counselor (South Carolina)
45428
Counselor (South Carolina)
61388
Clinical Neuropsychologist (South Carolina)
573768
Military Health Care Provider (South Carolina)
159AMP
Contractor (South Carolina)
73276
Health Educator (South Carolina)
73276
Pharmacist (South Carolina)
5768
Pain Medicine (South Carolina)
159AMP
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1101 Belleview St Ste 104

Columbia, South Carolina 29201-1863

Phone: (803) 937-1623

Record Information

Enumeration Date
April 28, 2011
Provider's NPPES Record Last Updated
July 8, 2020
Certification Date
July 8, 2020
Deactivation Date
May 10, 2020
Reactivation Date
July 8, 2020
NPISignal NPPES Dataset
August 2026

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